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Accessory Structures of the Skin: Nails

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Updated: May 14, 2026

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
11:39

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis

Published on: July 11, 2013

Nail psoriasis - a treatment challenge.

Marc A Radtke1, Florian C Beikert, Matthias Augustin

  • 1CVderm, Institute for Health Services Research in Dermatology and Nursing, University Medical Center of Hamburg-Eppendorf, Germany. m.radtke@uke.de

Journal Der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG
|February 22, 2013
PubMed
Summary

Nail psoriasis commonly affects patients, impacting quality of life and predicting psoriatic arthritis. Proper diagnosis, excluding other conditions like onychomycosis, is crucial before initiating treatment for this common skin condition.

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Measuring Psoriasis Severity at Home
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Last Updated: May 14, 2026

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
11:39

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis

Published on: July 11, 2013

Measuring Psoriasis Severity at Home
02:28

Measuring Psoriasis Severity at Home

Published on: March 1, 2024

Area of Science:

  • Dermatology
  • Rheumatology

Background:

  • Nail psoriasis is a frequent manifestation of psoriasis, often co-occurring with skin lesions but sometimes presenting in isolation.
  • It significantly impacts patients' psychosocial well-being, aesthetics, and daily function.
  • Nail psoriasis serves as an indicator of more severe disease, reduced quality of life, and an elevated risk of developing psoriatic arthritis.

Purpose of the Study:

  • To provide a comprehensive overview of nail psoriasis.
  • To detail clinical presentations, diagnostic approaches, and differential diagnoses.
  • To review available treatment options for nail psoriasis.

Main Methods:

  • Literature review of clinical appearances, diagnostic criteria, and treatment efficacy.
  • Analysis of differential diagnoses, including onychomycosis.
  • Synthesis of published data on therapeutic interventions.

Main Results:

  • Nail psoriasis exhibits diverse clinical manifestations.
  • Exclusion of onychomycosis and other conditions is a critical diagnostic step.
  • Various treatment modalities exist, supported by published data.

Conclusions:

  • Nail psoriasis requires careful diagnosis to differentiate from other nail disorders.
  • Early identification and management are essential due to its association with systemic disease and functional impairment.
  • Understanding clinical features and treatment options is vital for effective patient care.