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
References
Haneke E. Nail psoriasis: clinical features, pathogenesis, differential diagnosis, and management. Psoriasis. 2017;7:51-63. https://doi.org/10.2147/PTT.S126281
Rosso K, Faccin C, Murussi N, Costa A, Neumaier W, Monticielo O. Nail psoriasis: a review of the literature. An Bras Dermatol. 2014;89(2):312-7. https://doi.org/10.1590/abd1806-4841.20142633
Argote A, Rivera H, Suárez F, Gómez A, Wortsman X. Correlación clínica de los hallazgos ultrasonográficos de las uñas y de las articulaciones interfalángicas distales en pacientes con psoriasis. Rev Asoc Colomb Dermatol. 2015;23(3):179-86. https://doi.org/10.29176/2590843X.283
Aluja F, Quiasúa D, Martínez H, González C. El ultrasonido del aparato ungular y su utilidad para el dermatólogo. Rev Asoc Colomb Dermatol. 2016;24(4):290-8.
González C, Londoño A, Castro L, Beltrán A. Índice de área y severidad de la psoriasis ungueal modificado militar (NAPSIMM). Rev Latinoam Psor Artritis Psoriat. 2012;3(6):26-40.
Mendoça J, Zehra S, D’Agostino M. The use of ultrasonography in the diagnosis of nail disease among patients with psoriasis and psoriatic arthritis: A systematic review. Adv Rheumatol. 2019;59(1):41. https://doi.org/10.1186/s42358-019-0081-9
Gutiérrez-Manjarrez J, Gutiérrez M, Bertolazzi C, Afaro A, Pineda C. Ultrasound as a useful tool to integrate the clinical assessment of nail involvement in psoriatic arthritis. Reumatologia. 2018;56(1):42-4. https://doi.org/10.5114/reum.2018.74749
Mondal S, Dutta S, Lahiri D, Sinha D, Sircar G, Kumar A, et al. Assessment of nail unit structures by ultrasound in patients with psoriatic arthritis and their correlation with disease activity indices: A casecontrol study. Rheumatol Int. 2018;38(11):2087-93. https://doi.org/10.1007/s00296-018-4160-8
Marina M, Salomon C, Bolboaca S, Bocsa C, Mihaela C, Dumitru A. High frequency sonography in the evaluation of nail psoriasis. Med Ultrason. 2016;18(3):312-17. https://doi.org/10.11152/mu.2013.2066.183.hgh
Worstman X, Jemec GB. Ultrasound imaging of nails. Dermatol Clin. 2006;24(3):323-8. https://doi.org/10.1016/j.det.2006.03.014
Worstman X, Holm EA, Jemec GB, Gniadecka M. Ultrasonido de alta resolución (15 MHz) en el estudio de la uña psoriática. Rev Chilena Radiol. 2004;10(1):6-11. http://dx.doi.org/10.4067/S0717-93082004000100003
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