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Image Number 1569 (Psoriasis nails)

Nail dystrophy

Diagnosis: Psoriasis nails

Site: Nails

Sex: F

Age: 32


Description: Distal onycholysis.

Submitted by: Nameer Al-Sudany

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Differential Diagnosis

History: Psoriasis may involve the nails in up to 50% of the cases with the involvement is usually bilateral and symmetrical. Usually the ten fingernails and even the toenails are affected; however, occasionally it may be limited to few nails as in this 32-year-old lady who has had nail psoriasis confined to three fingernails. There was distal onycholysis, oily spot discoloration and red scaly patches of the finger tips.

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