학술논문

Nail Psoriasis: A Review of Effective Therapies and Recommendations for Management.
Document Type
article
Source
Dermatology and therapy. 11(3)
Subject
Biologic
Injectable
Laser
Nail
Nail psoriasis
Nails
Special site
Systemic
Topical
Autoimmune Disease
Psoriasis
Skin
Clinical Sciences
Language
Abstract
Nail psoriasis has a prevalence that ranges from 10 to 82% and can significantly impact the quality of life of patients. Nail psoriasis is one of the most challenging areas to treat, and multiple therapies have been explored. Topical and injectable therapies are recommended for few-nail disease. Systemic therapies, including biologics, can be considered for patients with multiple and resistant nail disease, impaired quality of life, and severe skin and joint involvement, due to their long-term efficacy. Although outcome data are difficult to compare, interleukin (IL)-17 inhibitors may have superior short-term efficacy when compared to IL-23 inhibitors and tumor necrosis factor (TNF)-alpha inhibitors, although long-term efficacy is similar to TNF-alpha inhibitors. IL-23 inhibitors and TNF-alpha inhibitors have a similar efficacy for nail psoriasis.