Dermoscopic Features of Psoriatic Nails and Their Correlation to Disease Severity
Background. Nail psoriasis is a challenging chronic condition affecting patients functionally and psychologically. Nail involvement is observed in 15–80% of psoriatic patients with occasional presence of isolated nail psoriasis. Objectives. To evaluate dermoscopic features of nail psoriasis and corr...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-01-01
|
| Series: | Dermatology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2023/4653177 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832559549743104000 |
|---|---|
| author | Zeinab R. Mashal Emad Eldin A. Elgamal Mohamed S. Zaky Mohamed L. Elsaie |
| author_facet | Zeinab R. Mashal Emad Eldin A. Elgamal Mohamed S. Zaky Mohamed L. Elsaie |
| author_sort | Zeinab R. Mashal |
| collection | DOAJ |
| description | Background. Nail psoriasis is a challenging chronic condition affecting patients functionally and psychologically. Nail involvement is observed in 15–80% of psoriatic patients with occasional presence of isolated nail psoriasis. Objectives. To evaluate dermoscopic features of nail psoriasis and correlate them clinically. Methods. The study included fifty subjects with nail psoriasis. Psoriasis skin and nail severity was evaluated using psoriasis area severity index (PASI) and nail psoriasis severity index (NAPSI). Dermoscopy of the nails (onychoscopy) was performed, and features were recorded and analyzed. Results. The most common clinical and dermoscopic findings were pitting (86%) and onycholysis (82%). Among all dermoscopic features of nail psoriasis, only longitudinal striations and subungual hyperkeratosis were significantly higher in patients with moderate to severe psoriasis than in patients with mild psoriasis (P=0.028; P=0.042, respectively). PASI scores correlated positively but none significantly with NAPSI scores (r = 0.132, P=0.360), and similarly, no significant correlation was observed between the duration of psoriasis and the dermoscopic NAPSI (r = 0.022, P=0.879). Conclusion. Dermoscopy can serve as a useful tool for early diagnosis of psoriatic nail changes not always visible to the naked eye and is a non-invasive easy-to-use confirmatory tool for nail changes in psoriatic disease or in isolated nail involvement. |
| format | Article |
| id | doaj-art-4066b705b4c342478a777ce9935e48b6 |
| institution | Kabale University |
| issn | 1687-6113 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Dermatology Research and Practice |
| spelling | doaj-art-4066b705b4c342478a777ce9935e48b62025-02-03T01:29:48ZengWileyDermatology Research and Practice1687-61132023-01-01202310.1155/2023/4653177Dermoscopic Features of Psoriatic Nails and Their Correlation to Disease SeverityZeinab R. Mashal0Emad Eldin A. Elgamal1Mohamed S. Zaky2Mohamed L. Elsaie3Damietta Dermatology and Leprosy HospitalDepartment of DermatologyDepartment of DermatologyDepartment of DermatologyBackground. Nail psoriasis is a challenging chronic condition affecting patients functionally and psychologically. Nail involvement is observed in 15–80% of psoriatic patients with occasional presence of isolated nail psoriasis. Objectives. To evaluate dermoscopic features of nail psoriasis and correlate them clinically. Methods. The study included fifty subjects with nail psoriasis. Psoriasis skin and nail severity was evaluated using psoriasis area severity index (PASI) and nail psoriasis severity index (NAPSI). Dermoscopy of the nails (onychoscopy) was performed, and features were recorded and analyzed. Results. The most common clinical and dermoscopic findings were pitting (86%) and onycholysis (82%). Among all dermoscopic features of nail psoriasis, only longitudinal striations and subungual hyperkeratosis were significantly higher in patients with moderate to severe psoriasis than in patients with mild psoriasis (P=0.028; P=0.042, respectively). PASI scores correlated positively but none significantly with NAPSI scores (r = 0.132, P=0.360), and similarly, no significant correlation was observed between the duration of psoriasis and the dermoscopic NAPSI (r = 0.022, P=0.879). Conclusion. Dermoscopy can serve as a useful tool for early diagnosis of psoriatic nail changes not always visible to the naked eye and is a non-invasive easy-to-use confirmatory tool for nail changes in psoriatic disease or in isolated nail involvement.http://dx.doi.org/10.1155/2023/4653177 |
| spellingShingle | Zeinab R. Mashal Emad Eldin A. Elgamal Mohamed S. Zaky Mohamed L. Elsaie Dermoscopic Features of Psoriatic Nails and Their Correlation to Disease Severity Dermatology Research and Practice |
| title | Dermoscopic Features of Psoriatic Nails and Their Correlation to Disease Severity |
| title_full | Dermoscopic Features of Psoriatic Nails and Their Correlation to Disease Severity |
| title_fullStr | Dermoscopic Features of Psoriatic Nails and Their Correlation to Disease Severity |
| title_full_unstemmed | Dermoscopic Features of Psoriatic Nails and Their Correlation to Disease Severity |
| title_short | Dermoscopic Features of Psoriatic Nails and Their Correlation to Disease Severity |
| title_sort | dermoscopic features of psoriatic nails and their correlation to disease severity |
| url | http://dx.doi.org/10.1155/2023/4653177 |
| work_keys_str_mv | AT zeinabrmashal dermoscopicfeaturesofpsoriaticnailsandtheircorrelationtodiseaseseverity AT emadeldinaelgamal dermoscopicfeaturesofpsoriaticnailsandtheircorrelationtodiseaseseverity AT mohamedszaky dermoscopicfeaturesofpsoriaticnailsandtheircorrelationtodiseaseseverity AT mohamedlelsaie dermoscopicfeaturesofpsoriaticnailsandtheircorrelationtodiseaseseverity |