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Vol. 99. Núm. 1.
Páginas 34-43 (enero - febrero 2008)
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Vol. 99. Núm. 1.
Páginas 34-43 (enero - febrero 2008)
Practical dermatology
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Diagnosis and Management of Nail Psoriasis
Aspectos Diagnósticos y Terapéuticos de la Psoriasis Ungueal
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10999
M Sánchez-Regaña
Autor para correspondencia
ez.reg@terra.es

Correspondence: Unidad de Psoriasis y Fototerapia, Servicio de Dermatología, Hospital Universitario Sagrado Corazón, París, 83-87 5.ª planta, 08029 Barcelona, Spain.
, P Umbert
Unidad de Psoriasis y Fototerapia, Servicio de Dermatología, Hospital Universitario Sagrado Corazón, Barcelona, and Unidad Docente de la Universidad de Barcelona, Barcelona, Spain
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Abstract

Nail psoriasis has traditionally been considered as one of the most difficult forms of psoriasis to treat. The most recent studies have found a higher prevalence of fungal infections in psoriatic nails and therefore cultures before and during treatment are necessary. Over the last few years, novel psoriatic therapies have been developed, some of which are effective for both skin and nail lesions (cyclosporine and biologic agents). Of the topical agents, vitamin D and A derivatives as well as nail lacquer containing 8% clobetasol propionate can help improve lesions of both the nail bed and matrix.

Key words:
psoriasis
nails
diagnosis
management
Resumen

La psoriasis ungueal ha sido considerada clásicamente una de las manifestaciones más difíciles de tratar de la enfermedad. Los últimos estudios han evidenciado una mayor prevalencia de infecciones fúngicas en las uñas psoriásicas, por lo que debemos practicar cultivos al inicio y durante el tratamiento. En los últimos años han aparecido numerosas novedades terapéuticas en la psoriasis; algunas son eficaces tanto para las lesiones cutáneas como para las ungueales (ciclosporina y biológicos). A nivel tópico, los derivados de la vitamina D y A, así como la laca de clobetasol propionato al 8% pueden conseguir mejorar tanto las lesiones del lecho como las de la matriz ungueal.

Palabras clave:
psoriasis
uñas
diagnóstico
tratamiento
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