Clinical and histological spectrum of nail psoriasis: A cross‐sectional study

Kaul, Subuhi; Singal, Archana; Grover, Chander; Sharma, Sonal

doi:10.1111/cup.13334

Cited by 26 publications

(12 citation statements)

References 27 publications

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“…The variation in these results was due to psoriasis had many findings that are not exclusive to psoriasis and may be associated with other common disorders like onychomycosis, lichen planus, and 20 nail dystrophy 21 …”

Section: Discussionmentioning

confidence: 98%

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Clinical, dermoscopic, and histopathological evaluations of patients with nail disorders

El‐Hamd

Yassin

El-hamid

et al. 2021

J of Cosmetic Dermatology

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Nail disorders are prevalent dermatologic complaints and present at any age. 50% of the nail disorders were due to infectious causes, 15% were due to metabolic or inflammatory causes, and 5% were due to pigment disturbances and malignancies. The differential diagnosis of nail disorders is still often a field of incertitude. 1 Clinical evaluation is still an issue in such cases. The nail unit is a greatly specialized structure and there are significant histopathological variations within its components. SO, the mycological assessments, and histopathological examinations are pivotal for the diagnosis of different nail disorders. 1 Two factors can hinder a precise diagnosis of nail disorders. The first factor is that several nail disorders may clinically mimic one another, leading to difficulty in diagnosis. From a practical view, one may consider infectious, inflammatory, and neoplastic processes in the differential diagnosis of a single lesion. So, a biopsy is usually resolve the cell layer that is abnormally found in the nail bed or nail matrix, and it is normally found in the nail fold or hyponychium. 2 The nail biopsy is an essential technique to obtain an accurate diagnosis of clinically ambiguous nail diseases that is not diagnosable by history, clinical examination, and mycology testing , 3 but it is disagreeable with the patient and may lead to scarring and disfigurement of the nail. 4

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Section: Discussionmentioning

confidence: 98%

“…This is true for nail psoriasis and onychomycosis, which are known to co‐exist. Dermoscopy may help distinguish these and is important for choosing the correct biopsy site 21 …”

Section: Discussionmentioning

confidence: 99%

Clinical, dermoscopic, and histopathological evaluations of patients with nail disorders

El‐Hamd

Yassin

El-hamid

et al. 2021

J of Cosmetic Dermatology

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“…5 Based on several reports, NSCC more commonly is found in middle-aged and older individuals, has a male predilection, and more often is seen on fingernails than toenails. 1,2,6 Figure A shows an example of the clinical presentation of NSCC affecting the right thumb.…”

Section: Nscc Clinical Presentation and Diagnosismentioning

confidence: 99%

Nail Unit Squamous Cell Carcinoma: Updates on Diagnosis, Surgical Approach, and the Use of Mohs Micrographic Surgery

Dany

2020

Cutis

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“…2,4 A diagnostic adjunct to the clinical diagnosis and to avoid an invasive biopsy is the histopathological examination of nail clippings with as much of the subungual hyperkeratosis as possible. 11,12,[16][17][18] As nail psoriasis has a serious negative impact on the quality of life, an early and exact diagnosis is warranted. Chronic trauma and professional stress to the digit aggravate nail psoriasis.…”

Section: Ungual Psoriasismentioning

confidence: 99%

Differential Diagnosis of Nail Psoriasis and Onychomycoses: A Report Based on 40 Years of Specialised Nail Consultations

2020

EMJ Dermatol

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Ungual psoriasis and onychomycosis are common nail diseases. Despite their different aetiology and course, surprisingly they have much in common both clinically and histopathologically, rendering their distinction often very challenging. Because their treatments are fundamentally different, anti-inflammatory–immunosuppressive for psoriasis and anti-infective for onychomycoses, an exact diagnosis is crucial for their management. Psoriasis is the dermatosis with the most frequent nail involvement. Pits, ivory-coloured spots, salmon or oil spots, subungual hyperkeratosis, onycholysis, and splinter haemorrhages are the most common nail signs. Onychomycoses are thought to be the most frequent nail diseases. This statement is disputed for toenails, for which orthopaedic abnormalities are said to be even more frequent and mimic fungal nail infections.

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Clinical and histological spectrum of nail psoriasis: A cross‐sectional study

Cited by 26 publications

References 27 publications

Clinical, dermoscopic, and histopathological evaluations of patients with nail disorders

Clinical, dermoscopic, and histopathological evaluations of patients with nail disorders

Nail Unit Squamous Cell Carcinoma: Updates on Diagnosis, Surgical Approach, and the Use of Mohs Micrographic Surgery

Differential Diagnosis of Nail Psoriasis and Onychomycoses: A Report Based on 40 Years of Specialised Nail Consultations

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