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Management of nail psoriasis
1Bristol Dermatology Centre, Bristol Royal Infirmary, UK. deberker@nails.u-net.com
Clinical and Experimental Dermatology
|September 30, 2000
Summary
Nail psoriasis treatment is challenging, often requiring combined therapies and ongoing maintenance due to common relapses. Basic nail care and topical treatments are key, with injections or radiation for severe cases.
Area of Science:
- Dermatology
- Rheumatology
Background:
- Nail psoriasis presents significant therapeutic challenges, often proving difficult to cure.
- Relapse is common, necessitating long-term or repeated treatment strategies.
- Evidence supporting the efficacy of many nail psoriasis treatments is limited in the literature.
Purpose of the Study:
- To review current treatment modalities for nail psoriasis.
- To highlight the importance of basic nail care and topical therapies.
- To discuss options for severe or hypertrophic nail psoriasis.
Main Methods:
- Review of existing literature on nail psoriasis treatments.
- Emphasis on topical therapies as a primary treatment approach.
- Discussion of adjunctive therapies including intralesional injections and phototherapy.
Main Results:
- Topical therapies are the mainstay for most nail psoriasis cases.
- Intralesional triamcinolone injections may benefit severe, hypertrophic nail disease.
- PUVA and systemic therapies are often considered in conjunction with treatment for skin psoriasis.
Conclusions:
- Nail psoriasis management requires a multi-faceted approach, often combining therapies.
- Consistent basic nail care and topical treatments are fundamental.
- Further research is needed to fully document the benefits of various nail psoriasis interventions.