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Published on: March 1, 2024
Nail dystrophy in psoriatic arthritis presenting as nail onychomycosis: a case report
Joon Yub Kim1, Goo Hyun Baek, Hyun Sik Gong
1Department of Orthopaedics, Seoul Medical Center, Seoul, Korea.
Abstract:
Dystrophic nail changes without a skin lesion is a rare form of psoriasis. We describe a patient that presented with a chronic nail onychomycosis and a destructive thumb interphalangeal joint which was initially considered as onychomycotic joint infection, and was later diagnosed as having dystrophic nail changes in psoriatic arthritis and coexistent onychomycosis. The nail changes were completely normalized after methotrexate treatment.
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