PMID- 31559254
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200928
IS  - 2296-9195 (Print)
IS  - 2296-9160 (Electronic)
IS  - 2296-9160 (Linking)
VI  - 5
IP  - 5
DP  - 2019 Aug
TI  - Nail Involvement in Psoriatic Patients and Association with Onychomycosis: 
      Results from a Cross-Sectional Study Performed in a Military Hospital in Tunisia.
PG  - 299-303
LID - 10.1159/000497825 [doi]
AB  - Nail psoriasis has variable prevalence and heterogeneous aspects. Many of them 
      could mimic onychomycosis (OM). It has been suggested that patients with nail 
      psoriasis are at high risk of OM. The aim of our study was to determine the 
      epidemiological and clinical characteristics of nail psoriasis and to estimate 
      the frequency and the factors associated with OM in psoriatic patients. The 
      studied group included 163 patients with psoriasis aged 18 years or older. 
      Epidemiological and clinical data, as well as the severity of skin and nails 
      disease by evaluating the Psoriasis Area Severity Index (PASI) and Nail Area 
      Psoriasis Severity Index (NAPSI) scores were specified. Mycological testing was 
      performed for patients with nail alterations. Nail involvement was found in 71.2% 
      of patients. The most common nail alterations were subungual hyperkeratosis and 
      onycholysis. The mean NAPSI score was 11.6. Mycological testing was performed in 
      104 patients with onychodystrophy. OM was diagnosed in 53% of the cases. 
      Dermatophytes were the most isolated pathogens. OM was associated with male 
      gender, but not with age, NAPSI, or PASI score. Psoriasis is one of the 
      dermatoses that most commonly affect the nail. Available data about the 
      association between nail psoriasis and OM are controversial. However, mycological 
      testing should be routinely performed on psoriatic nails.
FAU - Jendoubi, Fatma
AU  - Jendoubi F
AD  - Dermatology Department, Military Hospital of Tunis, Tunis, Tunisia.
FAU - Ben Lagha, Imene
AU  - Ben Lagha I
AD  - Dermatology Department, Military Hospital of Tunis, Tunis, Tunisia.
FAU - Rabhi, Faten
AU  - Rabhi F
AD  - Dermatology Department, Military Hospital of Tunis, Tunis, Tunisia.
FAU - Doss, Nejib
AU  - Doss N
AD  - Dermatology Department, Military Hospital of Tunis, Tunis, Tunisia.
FAU - Mrabet, Ali
AU  - Mrabet A
AD  - Public Health and Epidemiology Department, Faculty of Medicine of Tunis, 
      University of Tunis El Manar, Tunis, Tunisia.
FAU - Jaber, Kahena
AU  - Jaber K
AD  - Dermatology Department, Military Hospital of Tunis, Tunis, Tunisia.
FAU - Dhaoui, Mohamed Raouf
AU  - Dhaoui MR
AD  - Dermatology Department, Military Hospital of Tunis, Tunis, Tunisia.
LA  - eng
PT  - Journal Article
DEP - 20190405
PL  - Switzerland
TA  - Skin Appendage Disord
JT  - Skin appendage disorders
JID - 101670617
PMC - PMC6751431
OTO - NOTNLM
OT  - Nail disorder
OT  - Nail fungus
OT  - Nail inflammatory disease
OT  - Nail psoriasis
OT  - Psoriasis
COIS- The authors have no conflicts of interest to declare.
EDAT- 2019/09/29 06:00
MHDA- 2019/09/29 06:01
PMCR- 2020/08/01
CRDT- 2019/09/28 06:00
PHST- 2019/01/26 00:00 [received]
PHST- 2019/02/11 00:00 [accepted]
PHST- 2019/09/28 06:00 [entrez]
PHST- 2019/09/29 06:00 [pubmed]
PHST- 2019/09/29 06:01 [medline]
PHST- 2020/08/01 00:00 [pmc-release]
AID - sad-0005-0299 [pii]
AID - 10.1159/000497825 [doi]
PST - ppublish
SO  - Skin Appendage Disord. 2019 Aug;5(5):299-303. doi: 10.1159/000497825. Epub 2019 
      Apr 5.