Psoriasis is a chronic skin disease that causes significant distress and morbidity. Although the skin manifestations are more characteristic, the lifetime incidence of nail involvement in psoriatic patients is estimated to be 80 90, and the nails can be affected in 10 to 55 of psoriatic patients 1 3. In cases of very severe inflammation, combined nail matrix and nail bed psoriasis may develop, forming psoriatic crumbly nail. Nail Disorders: Practical Tips for Diagnosis and Treatment, An Issue of Dermatologic Clinics. av Antonella Tosti. Nail psoriasis is very common and causes considerable morbidity to patients. With the aid of informative illustrations, this book presents the clinical signs suggestive of nail psoriasis and describes the differential diagnosis of nail abnormaliti. The psychological impact and co-morbidity of psoriasis are often underestimated and can greatly impact on quality of life. Ultraviolet (UV) light is a highly effective treatment, but is carcinogenic (causing mainly squamous cell carcinoma).
Psoriasis is a long-lasting autoimmune disease characterized by patches of abnormal skin. These skin patches are typically red, itchy, and scaly. Psoriasis vulgaris (also known as chronic stationary psoriasis or plaque-like psoriasis) is the most common form and affects 85 90 of people with psoriasis. Psoriatic arthritis is a form of chronic inflammatory arthritis that has a highly variable clinical presentation and frequently occurs in association with skin and nail psoriasis. The classification of psoriasis as an autoimmune disease has sparked considerable debate. NEW Nail Psoriasis BOOK (Hardback) Free P&H in Books, Comics & Magazines, Textbooks & Education, Adult Learning & University eBay. Scalp psoriasis is very common, and even limited disease is responsible for marked physical and psychological consequences. Typical erythematous plaques and nail changes may be characteristic of psoriasis. Scalp psoriasis can cause an inordinate degree of physical and psychological morbidity.
Nail psoriasis is common, occurring in up to half of patients with psoriasis and in 90 of patients with psoriatic arthritis. Systemic therapy such as oral retinoids may be considered for widespread nail disease causing significant morbidity. Results: After 24 weeks, the clinical cure rate showed the statistically significant superiority of the HPCH nail lacquer compared to placebo in both the intention-to-treat (Fisher& 39;s exact test, P 0. Whether these conditions are common or very rare, the impact on quality of life can be far-reaching and profound even without stigmatisation. Skin diseases are very common. Acne is a common disorder in adolescents and appears to have a considerable impact on emotional health in this age group. It is important to identify those in need of intervention and to start treatment early before both dermatological morbidity and psychological morbidity become established. Patients with eczema, vitiligo or psoriasis face embarrassment, worry and depression.
Psoriasis is an immune mediated genetically determined common dermatological disorder which affects skin, nails, joints and has various systemic associations. It is important to recognize precisely the clinical subtype as it has implications on the choice of treatment modality and also reflects upon the disease activity. So, the results of various studies suggest that psoriasis is definitely a pruriginous disorder adding to the morbidity of this dermatosis. It is frequently damaged because it is directly in the ‘firing line’ and, for this reason, skin diseases are very common. A cosmetically disfiguring disorder can have a significant impact, and can cause considerable discomfort and disability. In children, localized scleroderma is three times more common than the systemic form of the disease. The cause and course of the disease is unclear, and more research is needed to assess treatment options. Its course is very slow, and it rarely, if ever, spreads throughout the body (becomes systemic) or causes serious complications. There are two main forms of localized scleroderma: morphea and linear scleroderma. Small blood vessels at the base of the fingernails may be severely narrowed in some places, and may widen in other places. This is an indication that internal organs might be involved. More than half of scleroderma patients are likely to experience significant depression. Despite the high prevalence of foot symptoms in people with rheumatic diseases, the foot and ankle remains a neglected area in rheumatology. Rheumatology.org.uk) organises an annual 2-day Foot and Ankle Course, usually held in Leeds, which is very much a hands-on practical course that covers the techniques needed for this assessment. Onycholysis and pitting of the nails may be seen, similar to that encountered in psoriasis. Both Reiter’s syndrome and septic bursitis can cause a monarticular arthritis in an HIV-infected patient. Nail involvement is a common presenting symptom of arthritis, especially in the distal interphalangeal joints of the hands and feet. Many patients with psoriatic skin manifestations or onycholysis have only these musculoskeletal findings and do not meet the criteria for a diagnosis of psoriatic arthritis. Reiter’s syndrome, the first rheumatic syndrome reported in patients with HIV infection,(17) can be a severe illness in HIV-infected patients, but whether it occurs more frequently in HIV-infected patients than in the general population is controversial.