Dermatology clinical case

Authors

  • Ana Sofia Figueiredo Department of Neonatology and Pediatrics, Unidade de Vila Real, Centro Hospitalar de Trás os Montes e Alto Douro https://orcid.org/0000-0002-2575-2191
  • Carolina Quintela Department of Neonatology and Pediatrics, Unidade de Vila Real, Centro Hospitalar de Trás os Montes e Alto Douro
  • Susana Machado Department of Dermatology, Centro Hospitalar Universitário de Santo António
  • Glória Velho Department of Dermatology, Centro Hospitalar Universitário de Santo António
  • Jorge França Santos Department of Neonatology and Pediatrics, Unidade de Chaves, Centro Hospitalar de Trás os Montes e Alto Douro https://orcid.org/0000-0003-2601-8498

DOI:

https://doi.org/10.25753/BirthGrowthMJ.v32.i3.25310

Keywords:

nail, psoriasis, treatment

Abstract

Psoriasis is a systemic disease that commonly affects the skin, scalp, and nails. Occasionally, nail psoriasis may be the only manifestation at the time of clinical presentation. The authors present the case of a 10-year-old boy with nail involvement as the main featureat presentation, initially treated with antifungal agents. The emergence of skin lesions allowedthe diagnosis of nail psoriasis and appropriatetreatment. Differential diagnosis with onychomycosis canbe difficult due to overlapping clinical features of the nails. Therapeutic options for psoriasis includetopical agents formoderate to mild disease, systemic agents formoderate to severe disease, and biologic agents forsevere or refractory disease. This case reviews the diagnosis and treatment of a well-known conditionwith a less common presentation.

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References

Eichenfield LF, Paller AS, Tom WL, Sugarman J, Hebert AA, Friedlander SF, et al. Pediatric psoriasis: Evolving perspectives. Pediatr Dermatol. 2018 Mar;35(2):170-181. doi: https://doi.org/10.1111/pde.13382.

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Tabassum S, Rahman A, Awan S, Jabeen K, Farooqi J, Ahmed B, et al. Factors associated with onychomycosis in nail psoriasis: a multicenter study in Pakistan. Int J Dermatol. 2019 Jun;58(6):672-678. doi: https://doi.org/10.1111/ijd.14364.

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Osier E, Wang AS, Tollefson MM, Cordoro KM, Daniels SR, Eichenfield A, et al. Pediatric Psoriasis Comorbidity Screening Guidelines. JAMA Dermatol. 2017 Jul 1;153(7):698-704. doi: https://doi.org/10.1001/jamadermatol.2017.0499.

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Published

2023-11-16

How to Cite

1.
Figueiredo AS, Quintela C, Machado S, Velho G, França Santos J. Dermatology clinical case. REVNEC [Internet]. 2023Nov.16 [cited 2024Jul.1];32(3):237-9. Available from: https://revistas.rcaap.pt/nascercrescer/article/view/25310

Issue

Vol. 32 No. 3 (2023)

Section

Imaging Cases

License

Copyright (c) 2023 Ana Sofia Figueiredo, Carolina Quintela, Susana Machado, Glória Velho, Jorge França Santos

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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