SEARCH

SEARCH BY CITATION

Keywords:

  • dexamethasone;
  • iontophoresis;
  • nail psoriasis;
  • NAPSI score

Abstract

Background

Severe nail psoriasis can impact significantly on quality of life and is difficult to treat.

Methods

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.

Results

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.

Conclusions

Dexamethasone iontophoresis may be a useful treatment of this generally recalcitrant condition.