Treatment with intralesional methotrexate injection in a patient with nail psoriasis

Psoriasis vulgaris is an inflammatory skin disease involving the skin, nails, and joints. While nail involvement is observed in 70–80% of patients with psoriasis, the rate of patients with isolated nail involvement is 5–10%. Dystrophies arising in the nails in psoriasis affect the patient’s...

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Main Author: Yesim Akpinar Kara
Format: Article
Language:English
Published: Our Dermatology Online 2022-01-01
Series:Nasza Dermatologia Online
Online Access:http://www.odermatol.com/issue-in-html/2022-1-14-nail_psoriasis/
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author Yesim Akpinar Kara
author_facet Yesim Akpinar Kara
author_sort Yesim Akpinar Kara
collection DOAJ
description Psoriasis vulgaris is an inflammatory skin disease involving the skin, nails, and joints. While nail involvement is observed in 70–80% of patients with psoriasis, the rate of patients with isolated nail involvement is 5–10%. Dystrophies arising in the nails in psoriasis affect the patient’s quality of life, and local and systemic therapies may be used as treatment. Intralesional methotrexate or corticosteroid injection might be an option in the treatment of patients with the involvement of one nail or some nails or without the involvement of the skin and joints, due to the side effects of systemic and biological agents. Herein, we report a female patient with nail psoriasis resistant to a previously applied topical treatment, the efficacy of intralesional methotrexate without the use of a systemic antipsoriatic agent, and no progression of side effects.
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spelling doaj.art-2ecfbc9dbafe40e39c4e71025caa6b902022-12-25T15:58:38ZengOur Dermatology OnlineNasza Dermatologia Online2081-93902022-01-01131626410.7241/ourd.20221.14Treatment with intralesional methotrexate injection in a patient with nail psoriasisYesim Akpinar Karahttps://orcid.org/0000-0003-3834-1858 Psoriasis vulgaris is an inflammatory skin disease involving the skin, nails, and joints. While nail involvement is observed in 70–80% of patients with psoriasis, the rate of patients with isolated nail involvement is 5–10%. Dystrophies arising in the nails in psoriasis affect the patient’s quality of life, and local and systemic therapies may be used as treatment. Intralesional methotrexate or corticosteroid injection might be an option in the treatment of patients with the involvement of one nail or some nails or without the involvement of the skin and joints, due to the side effects of systemic and biological agents. Herein, we report a female patient with nail psoriasis resistant to a previously applied topical treatment, the efficacy of intralesional methotrexate without the use of a systemic antipsoriatic agent, and no progression of side effects.http://www.odermatol.com/issue-in-html/2022-1-14-nail_psoriasis/
spellingShingle Yesim Akpinar Kara
Treatment with intralesional methotrexate injection in a patient with nail psoriasis
Nasza Dermatologia Online
title Treatment with intralesional methotrexate injection in a patient with nail psoriasis
title_full Treatment with intralesional methotrexate injection in a patient with nail psoriasis
title_fullStr Treatment with intralesional methotrexate injection in a patient with nail psoriasis
title_full_unstemmed Treatment with intralesional methotrexate injection in a patient with nail psoriasis
title_short Treatment with intralesional methotrexate injection in a patient with nail psoriasis
title_sort treatment with intralesional methotrexate injection in a patient with nail psoriasis
url http://www.odermatol.com/issue-in-html/2022-1-14-nail_psoriasis/
work_keys_str_mv AT yesimakpinarkara treatmentwithintralesionalmethotrexateinjectioninapatientwithnailpsoriasis