Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Psoriasis is a chronic inflammatory skin disease, affecting up to 2% of the global population, often associated with nail involvement. Nail psoriasis may occur alongside cutaneous lesions or as isolated presentations, causing functional impairment and social stigma. Onychoscopy, a non‐invasive diagnostic tool, has enhanced the evaluation of psoriatic nail changes, allowing detailed observation of subtle nail alterations. This cross‐sectional analytical study was conducted at the dermatology outpatient department of Mata Gujri Memorial Medical College, Bihar, India, from September 2022 to August 2024. A total of 50 patients with clinical features of nail psoriasis, meeting specific inclusion and exclusion criteria, were enrolled. Data collected included demographic characteristics, clinical manifestations and onychoscopic findings. Statistical analysis was conducted using SPSS software (version 26). The cohort had a majority of male patients (76.0%), predominantly Muslim (76.0%), with 44.0% illiterate and 56.0% belonging to the lower socioeconomic class. Most patients had nail psoriasis Shamim with concurrent psoriasis at other sites (98.0%) and no prior treatment history (92.0%). Clinically, pitting (92.0%) was the most prevalent feature, followed by subungual hyperkeratosis (72.0%) and oil drop spots (64.0%). Onycholysis, leukonychia and splinter hemorrhages were other common manifestations. Nail psoriasis presents with diverse manifestations, with pitting and subungual hyperkeratosis being most common. The variability underscores the importance of onychoscopic assessment for accurate diagnosis and management of nail psoriasis. This study contributes to understanding the clinical and demographic characteristics of nail psoriasis in this population, facilitating better‐targeted therapeutic approaches.
How to cite this article:
Priyanka Singh, Ayush Adarsh, Harsh J. Prajapati, Poonam Raut and Pranab Kumar Saha. A Study of Demographic and Clinical Profile of Patients with Nail Psoriasis.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.12.1.6
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.12.1.6