NAIL PSORIASIS AS THE ONLY SKIN MANIFESTATION. A DIAGNOSTIC CHALLENGE
DOI:
https://doi.org/10.29176/2590843X.1627Keywords:
Nail psoriasis, Nail ultrasonography, PsoriasisAbstract
Psoriasis is defined as a chronic inflammatory disease with a strong genetic background. The prevalence of psoriasis ranges from 1 to 2% of the population. Over lifetime up to 50% of psoriatics present nail psoriasis, 80% in psoriatic arthritis and 1-5% in patients with nail involvement as the only skin manifestation (1, 2). Two types of nail involvement can be characterized: Nail matrix involvement, and nail bed involvement. The diagnosis is made with clinical signs, with help in some cases of dermoscopy and histopathology (3-5). Imaging of the nail unit can be performed to assess nail alterations, therefore increasing diagnosis in difficult cases. We present a case of nail psoriasis in absence of cutaneous lesions in which nail ultrasonography takes especial relevance in the diagnosis.
Author Biographies
Manuel Darío Franco, Médico dermatólogo, Universidad del Bosque, Bogotá Colombia
Médico dermatólogo, Universidad del Bosque, Bogotá Colombia
Claudia Patricia González-Díaz, Médica radióloga, Universidad del Rosario, ultrasonido dermatológico de alta resolución, IDIME, Bogotá, Colombia.
Médica radióloga, Universidad del Rosario, ultrasonido dermatológico de alta resolución, IDIME, Bogotá, Colombia.
Mariam Rolón, Medica patóloga, dermatopatología, Hospital Universitario Fundación Santa Fe de Bogotá. Docente de Dermatopatología, Universidad del Bosque
Medica patóloga, dermatopatología, Hospital Universitario Fundación Santa Fe de Bogotá. Docente de Dermatopatología, Universidad del Bosque
María José Giraldo-Parra, Médica general, Universidad del Rosario, Bogotá, Colombia
Médica general, Universidad del Rosario, Bogotá, Colombia
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