The mean NAPSI score in nails treated with excimer laser was 29.8 at baseline, reduced to 16. Treatment of nail psoriasis is disappointing, and a study has shown that only 19. The 308-nm excimer laser was approved by the US Food and Drug Administration in 2000 for the treatment of psoriasis. The excimer (308 nm) laser is already widely used for the treatment of skin psoriasis, with excellent results. Treatment of Psoriasis and Long-term Maintenance Using 308 nm Excimer Laser, Clobetasol Spray, and Calcitriol Ointment: A Case Series.
Keywords: Management, nails, palmoplantar, scalp, psoriasis. The Nail Psoriasis Severity Index (NAPSI) designed recently has helped to standardize the outcome assessment. 308nm Excimer Laser for Treatment of Fingernail Psoriasis. Acronym, NAPSI. Use of any systemic treatment for psoriasis during the last six months before the screening visit. Title: 308nm Excimer Laser for Treatment of Fingernail Psoriasis.
3 mg/kg/day for 6 months show that the NAPSI score reduction was comparable to biologics at 41. 308-nm excimer laser in psoriasis vulgaris, scalp psoriasis, and palmoplantar psoriasis. Long-term studies of the efficacy and safety of scalp treatments are lacking. Patients with psoriasis can present with multiple levels of involvement and with different types of the chronic condition. In another study, researchers found the monochromatic excimer light (308-nm) to be an effective and safe treatment modality for patients with mild to moderate psoriasis vulgaris and palmoplantar psoriasis. At the end of treatment, patients showed a 72 percent reduction in pitting, a 66 percent reduction in leukonychia, a 63 percent reduction in onycholysis and a reduction of 65 percent in the NAPSI score in comparison to baseline. Oram Y. Pulsed dye laser in the treatment of nail psoriasis.
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Conclusions: A single gold standard for the treatment of psoriasis does not exist. B phototherapy and 308-nm excimer laser in the treatment of vitiligo: a review. Biologic therapies for psoriasis use genetically engineered drugs that target specific steps involving T cells and cytokines (e. When treating patients for more extensive disease, there are no clear guidelines established for selecting 1st-line therapy, albeit the presence of concomitant psoriatic arthritis is an important determinant of treatment choice (often a TNF-alpha inhibitor with or without methotrexate). Excimer Laser, Targeted exposure of skin lesions to a 308-nm monochromatic excimer laser. The treatment for nail psoriasis involves behavioral interventions, topical medications, or systemic therapy in case of extensive skin or joint involvement.