PDF(Pubmed)
Abstract：
UNASSIGNED: Dermoscopy has emerged as a useful diagnostic tool to evaluate skin lesions, including psoriasis. We aimed to compare the clinical examination and digital dermoscopy findings of nail involvement in patients with psoriatic nails.
UNASSIGNED: This study included 60 patients with clinically diagnosed psoriasis. The nail findings and NAPSI were evaluated clinically and via dermoscopy, and then the severity of the disease was calculated using PASI criteria.
UNASSIGNED: About 32 patients were males, with a median PASI score of 4.4, and pitting and subungual hyperkeratosis were the most common findings. The clinical and dermoscopic examination had a moderate diagnostic resemblance regarding onycholysis, subungual hyperkeratosis, and leukonychia. The resemblance between the two methods for the diagnosis of leukonychia in patients with a duration of disease <2 years (Kappa = 0.59) and 2-6 years was moderate (Kappa = 0.48), and for 6 years< was perfect (Kappa = 0.62). The resemblance for the diagnosis of subungual hyperkeratosis and onycholysis in subjects with a duration of disease <2 years was slight, and for 2-6 years and 6 years< were moderate. The resemblance between the NAPSI score by the two methods was also moderate (95%CI -0.89-0.81, P < 0.001).
UNASSIGNED: Dermoscopy is an efficient, supportive, and non-invasive method providing a better diagnosis of nail psoriasis.
UNASSIGNED: This study included 60 patients with clinically diagnosed psoriasis. The nail findings and NAPSI were evaluated clinically and via dermoscopy, and then the severity of the disease was calculated using PASI criteria.
UNASSIGNED: About 32 patients were males, with a median PASI score of 4.4, and pitting and subungual hyperkeratosis were the most common findings. The clinical and dermoscopic examination had a moderate diagnostic resemblance regarding onycholysis, subungual hyperkeratosis, and leukonychia. The resemblance between the two methods for the diagnosis of leukonychia in patients with a duration of disease <2 years (Kappa = 0.59) and 2-6 years was moderate (Kappa = 0.48), and for 6 years< was perfect (Kappa = 0.62). The resemblance for the diagnosis of subungual hyperkeratosis and onycholysis in subjects with a duration of disease <2 years was slight, and for 2-6 years and 6 years< were moderate. The resemblance between the NAPSI score by the two methods was also moderate (95%CI -0.89-0.81, P < 0.001).
UNASSIGNED: Dermoscopy is an efficient, supportive, and non-invasive method providing a better diagnosis of nail psoriasis.
摘要：
■皮肤镜检查已成为评估皮肤病变的有用诊断工具，包括牛皮癣。我们旨在比较银屑病指甲患者指甲受累的临床检查和数字皮肤镜检查结果。
■这项研究包括60例临床诊断为银屑病的患者。通过皮肤镜检查对指甲结果和NAPSI进行临床评估，然后使用PASI标准计算疾病的严重程度。
■大约32名患者是男性，PASI评分中位数为4.4分,点蚀和甲下角化过度是最常见的发现.临床和皮肤镜检查在甲症方面具有中等的诊断相似性，甲下角化过度,和白甲癣.在病程<2年（Kappa=0.59）和2-6年的患者中，两种诊断白甲的方法之间的相似性是中等的（Kappa=0.48）。6年<是完美的（Kappa=0.62）。在病程<2年的受试者中，与甲下角化过度和甲癣的诊断相似度很小，2-6年和6年<为中度。两种方法的NAPSI评分之间的相似性也中等（95CI-0.89-0.81，P<0.001）。
■皮肤镜检查是一种有效的，支持,和非侵入性的方法提供了一个更好的诊断指甲牛皮癣。
■这项研究包括60例临床诊断为银屑病的患者。通过皮肤镜检查对指甲结果和NAPSI进行临床评估，然后使用PASI标准计算疾病的严重程度。
■大约32名患者是男性，PASI评分中位数为4.4分,点蚀和甲下角化过度是最常见的发现.临床和皮肤镜检查在甲症方面具有中等的诊断相似性，甲下角化过度,和白甲癣.在病程<2年（Kappa=0.59）和2-6年的患者中，两种诊断白甲的方法之间的相似性是中等的（Kappa=0.48）。6年<是完美的（Kappa=0.62）。在病程<2年的受试者中，与甲下角化过度和甲癣的诊断相似度很小，2-6年和6年<为中度。两种方法的NAPSI评分之间的相似性也中等（95CI-0.89-0.81，P<0.001）。
■皮肤镜检查是一种有效的，支持,和非侵入性的方法提供了一个更好的诊断指甲牛皮癣。
