Prevalence of Various Types of Nail Involvement in Psoriasis and its Relevance to Clinical Presentation
Keywords:Psoriasis, Nail changes, Association, Quality of life
AbstractBackground: Psoriasis is a chronic inflammatory condition which affects the skin, nails, and joints, and can affect other systems as well. Nails are typically involved in psoriasis. It is a grave cutaneous disorder with adverse physical and mental health implications that needs to be diagnosed and treated early. Objective To determine the frequency of nail changes in patients presenting with psoriasis to Dermatology Department of Services Hospital, Lahore Methods This was a cross-sectional study conducted in the Department of Dermatology, SIMS/ Services Hospital, Lahore, from September 2022 to March 2023. 80 patients of psoriasis were enrolled. Detailed history for psoriasis was taken. All patients underwent evaluation of nail changes (as per operational definition). The presence/absence of nail changes was recorded on a pre-designed proforma (annexure). Results In our study, mean age was 27.24+4.57 years, 59(73.8%) were male whereas 21(26.3%) were females, 55(68.8%), moderate in 17(21.3%) and severe in 8(10%) of the cases. Descriptive statistics of nail changes of patients in psoriasis shows 72(90%) had pitting, 64(80%) had Onycholysis, 24(30%) had Splinter Haemorrhage, Oil Drop Discoloration in 71(88.8%) and Subungual hyperkeratosis in 64(80%) of the cases. Conclusion We found pitting as the leading nail change in psoriatic disease followed by Oil Drop Discoloration and Onycholysis. Psoriasis can significantly impair a patient’s quality of life. Nail changes can significantly affect cosmetic concerns of the patients and need to be addressed adequately and timely. Key words Psoriasis, nail changes, association, quality of life.
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