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Nail Psoriasis: Clinical Features and Assessment

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Psoriatic Arthritis and Psoriasis

Abstract

Many patients with psoriasis have involvement of the nails. Nail psoriasis can range from asymptomatic, limited involvement to being physically and functionally debilitating. Psoriatic lesions affecting the nail matrix can lead to pitting, leukonychia, red spots on the lunula, and nail plate crumbling. Moreover, nail bed lesions may result in onycholysis, splinter hemorrhages, oil drop discoloration, or nail bed hyperkeratosis. Clinical assessment of disease severity can be performed through various tools and may help clinicians track progress and response to treatment.

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Correspondence to April W. Armstrong MD, MPH .

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Tuong, W., Armstrong, A.W. (2016). Nail Psoriasis: Clinical Features and Assessment. In: Adebajo, A., Boehncke, WH., Gladman, D., Mease, P. (eds) Psoriatic Arthritis and Psoriasis. Springer, Cham. https://doi.org/10.1007/978-3-319-19530-8_16

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  • DOI: https://doi.org/10.1007/978-3-319-19530-8_16

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