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Diagnostic role of ultrasound elastography for nail bed involvement in psoriasis

OBJECTIVE: Psoriasis is a chronic inflammatory disease that affects the skin, joints, and nails. To investigate the efficacy of sonoelastographic evaluation for assessing nail involvement and severity in psoriasis. MATERIALS AND METHODS: Thirty-one psoriasis patients and 31 healthy control subjects...

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Autores principales: Asil, Kiyasettin, Yaldiz, Mahizer
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6922432/
https://www.ncbi.nlm.nih.gov/pubmed/31852063
http://dx.doi.org/10.1097/MD.0000000000017917
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author Asil, Kiyasettin
Yaldiz, Mahizer
author_facet Asil, Kiyasettin
Yaldiz, Mahizer
author_sort Asil, Kiyasettin
collection PubMed
description OBJECTIVE: Psoriasis is a chronic inflammatory disease that affects the skin, joints, and nails. To investigate the efficacy of sonoelastographic evaluation for assessing nail involvement and severity in psoriasis. MATERIALS AND METHODS: Thirty-one psoriasis patients and 31 healthy control subjects were included in the study. The nail thickness and nail bed thickness of the thumbs of all cases were measured by gray scale ultrasonography. In addition, the values of strain elastography were measured by sonoelastography. RESULTS: Of the participants, 38 were male and 24 were female; the ratio of males and females was equal in both groups. There was no significant difference between the patient and control group in terms of gender and age. In the patient group, the mean duration of illness was 13.87 ± 9.8 years, mean PASI score was 5.53 ± 2.38, and mean NAPSI score was 33.97 ± 37.99. The nail plate thickness and elastography strain ratios were found to be statistically higher in the psoriasis group compared to the control group. There was also significant correlation between elastography strain ratios and nail thickness (P = .014), nail bed thickness (P < .001) and NAPSI scores (P = .01). CONCLUSION: Due to the superiority of ultrasound in real-time imaging of the nail structure and the compatibility of sonographic elastography with clinical scores in the assessment of the nail bed, we believe that it can be used as a complementary method.
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spelling pubmed-69224322020-01-23 Diagnostic role of ultrasound elastography for nail bed involvement in psoriasis Asil, Kiyasettin Yaldiz, Mahizer Medicine (Baltimore) 4000 OBJECTIVE: Psoriasis is a chronic inflammatory disease that affects the skin, joints, and nails. To investigate the efficacy of sonoelastographic evaluation for assessing nail involvement and severity in psoriasis. MATERIALS AND METHODS: Thirty-one psoriasis patients and 31 healthy control subjects were included in the study. The nail thickness and nail bed thickness of the thumbs of all cases were measured by gray scale ultrasonography. In addition, the values of strain elastography were measured by sonoelastography. RESULTS: Of the participants, 38 were male and 24 were female; the ratio of males and females was equal in both groups. There was no significant difference between the patient and control group in terms of gender and age. In the patient group, the mean duration of illness was 13.87 ± 9.8 years, mean PASI score was 5.53 ± 2.38, and mean NAPSI score was 33.97 ± 37.99. The nail plate thickness and elastography strain ratios were found to be statistically higher in the psoriasis group compared to the control group. There was also significant correlation between elastography strain ratios and nail thickness (P = .014), nail bed thickness (P < .001) and NAPSI scores (P = .01). CONCLUSION: Due to the superiority of ultrasound in real-time imaging of the nail structure and the compatibility of sonographic elastography with clinical scores in the assessment of the nail bed, we believe that it can be used as a complementary method. Wolters Kluwer Health 2019-12-16 /pmc/articles/PMC6922432/ /pubmed/31852063 http://dx.doi.org/10.1097/MD.0000000000017917 Text en Copyright © 2019 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0
spellingShingle 4000
Asil, Kiyasettin
Yaldiz, Mahizer
Diagnostic role of ultrasound elastography for nail bed involvement in psoriasis
title Diagnostic role of ultrasound elastography for nail bed involvement in psoriasis
title_full Diagnostic role of ultrasound elastography for nail bed involvement in psoriasis
title_fullStr Diagnostic role of ultrasound elastography for nail bed involvement in psoriasis
title_full_unstemmed Diagnostic role of ultrasound elastography for nail bed involvement in psoriasis
title_short Diagnostic role of ultrasound elastography for nail bed involvement in psoriasis
title_sort diagnostic role of ultrasound elastography for nail bed involvement in psoriasis
topic 4000
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6922432/
https://www.ncbi.nlm.nih.gov/pubmed/31852063
http://dx.doi.org/10.1097/MD.0000000000017917
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