Nail Psoriasis Treated with Pulse Dye Laser
Our patient is 40 years old female suffering from nail pitting, onycholysis and subungual hyperkeratosis of the ten finger nails. She had this condition for the past two year. No other lesions were detected on the body. The patient has no family history of psoriasis. Direct KOH smear and culture for fungi where negative. Our diagnosis was nail psoriasis.\nThe nails were treated with PDL (595 nm, Candela Corp.) once monthly. The pulse duration was 1.5 ms, the beam diameter was 7 mm, and the laser energy was 8.0 to 10.0 J/cm.[] Stacking technique was used. Three sessions were received. The nails were evaluated before treatment [Figures and ] and one month after the last session [Figures -] using NAPSI score.\nNAPSI score markedly decreased. Both nail bed and nail matrix lesions improved. The patient was very happy with the result.