Psoriasis of the nails associated with disability in a large number of patients: Results of a recent interview with 1,728 patients

被引:219
作者
deJong, EMGJ
Seegers, BAMPA
Gulinck, MK
Boezeman, JBM
vandeKerkhof, PCM
机构
[1] Department of Dermatology, University Hospital Nijmegen, Nijmegen
关键词
psoriasis; nails;
D O I
10.1159/000246274
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Background and Objective: Occurrence rates of clinical features of nail psoriasis vary considerably in the literature. Little information is available on subjective complaints of patients affected by psoriasis of the nails. Method: Interviews with 1,728 psoriatic patients concerning their nail changes and complaints are reviewed. Results: The results indicate that pitting and deformation are the most common clinical aberrations in psoriatic nails, with a positive association between the duration of skin lesions and nail psoriasis. No relation was found between age and nail psoriasis in this group. Remarkably, 51.8% of patients suffered from pain caused by the nail changes, and a large group of patients was restricted in their daily activities, housekeeping and/or profession (58.9, 56.1, 47.9%). Treatment was disappointing: only 19.3% showed marked improvement during treatment. Conclusion: This indicates that psoriasis of the nails is a more important individual and social-economic problem than previously assumed and that development of new treatments is needed.
引用
收藏
页码:300 / 303
页数:4
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