Quynh Van Le, MBBS. Anne Howard, FACD FRACP.
Dexamethasone iontophoresis for the treatment of nail psoriasis
Version of Record online: 21 FEB 2013
© 2013 The Authors. Australasian Journal of Dermatology © 2013 The Australasian College of Dermatologists
Australasian Journal of Dermatology
Volume 54, Issue 2, pages 115–119, May 2013
How to Cite
Van Le, Q. and Howard, A. (2013), Dexamethasone iontophoresis for the treatment of nail psoriasis. Australasian Journal of Dermatology, 54: 115–119. doi: 10.1111/ajd.12029
- Issue online: 14 APR 2013
- Version of Record online: 21 FEB 2013
- Manuscript Accepted: 12 NOV 2012
- Manuscript Received: 3 NOV 2012
- nail psoriasis;
- NAPSI score
Severe nail psoriasis can impact significantly on quality of life and is difficult to treat.
This is a retrospective study of all patients treated with dexamethasone iontophoresis weekly for at least 3 months at our specialist nail clinic between 1996 and 2011. Response to treatment was assessed on clinical photographs using the nail psoriasis severity index (NAPSI) scoring.
In all, 27 patients were assessed, of whom 81 per cent showed an improvement in their nails. The treatment was well tolerated, with only one patient reporting fissuring of the fingertips.
Dexamethasone iontophoresis may be a useful treatment of this generally recalcitrant condition.