A clinical study of nail changes in common papulosquamous disorders
Keywords:
Papulosquamous disorders, nail, psoriasisAbstract
Objective To determine the incidence and types of nail changes in various papulosquamous disorders. Methods We undertook a descriptive study of 50 patients at department of Skin and STD, VMKVMCH, Salem. Nail biopsy of all patients was taken and histopathological analysis was done. Results Of a total of 50 patients, the most common nail change was pitting seen in 60% of psoriasis patients followed by onycholysis in 58% and subungual hyperkeratosis which was 46%. Conclusion Nail pitting was the prominent indicator of psoriasis in papulosquamous disorders.ÂReferences
Armesto S, Esteve A, Coto-Segura P, Drake M, Galache C, MartÃnez-Borra J, Santos-Juanes J. Nail psoriasis in individuals with psoriasis vulgaris: a study of 661 patients. Actas Dermosifiliogr. 2011;102:365-72.
Ahmed I, Nasreen S, Ziauddin. Frequency and pattern of nail changes in patients with psoriasis vulgaris. J Pak Assoc Dermatol. 2009;19:194-9.
Al-Mutairi N, Manchanda Y, Nour-Eldin O. Nail changes in childhood psoriasis: a study from Kuwait. Pediatr Dermatol 2007;24:7-10.
Edwards F, de Berker D. Nail psoriasis: Clinical presentation and best practice recommendations. Drugs. 2009;69:2351-61.
De Jong EM, Seegers BA, Gulinck MK, Boezeman JB, van de Kerkhof PC. Psoriasis of the nails associated with disability in a large number of patients: Results of a recent interview with 1728 patients. Dermatology. 1996;193:300-3.
Natarajan V, Nath AK, Thappa DM, Singh R, Verma SK. Coexistence of onychomycosis in psoriatic nails: A descriptive study. Indian J Dermatol Venereol Leprol. 2010;76:723.
Farber EM, Nall L. Nail psoriasis. Cutis. 1992;50:174-8.
Yap FB, Pubalan M. Pattern and clinical characteristics of patients with nail psoriasis in Sarawak General Hospital, Malaysia. Indian J Dermatol Venereol Leprol. 2010;76:703-4.
Goettmann S, Zaraa I, Moulonguet I. Nail lichen planus: epidemiological, clinical, pathological, therapeutic and prognosis study of 67 cases. J Eur Acad Dermatol Venereol. 2012;26:1304-9.
Sonnex TS, Dawber RP, Zachary CB, Millard PR, Griffiths AD. The nails in adult type 1 pityriasis rubra pilaris. A comparison with Sézary syndrome and psoriasis. J Am Acad Dermatol. 1986;15:956-60.
Baran R, Dupré A, Lauret P, Puissant A. Lichen striatus with nail involvement. Report of 4 cases and review of the 4 cases in the literature (author's transl). Ann Dermatol Venereol. 1979;106:885-91.
Donald W, Owens MD. Lichen striatus with onychodystrophy. Arch Dermatol. 1972;105:457-8.
Tosti A, Peluso AM, Misciali C, Cameli N. Nail lichen striatus: clinical features and long-term follow-up of five patients. J Am Acad Dermatol. 1997;36:908-13.
