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Comparison of the Objective Severity and the Esthetic Perception of Nail Symptoms in Psoriasis

INTRODUCTION: Nail changes are frequent in psoriasis, and the negative impact of nail psoriasis on patients' quality of life is well known. No data are available however about the association of the objective severity of nail psoriasis and the subjective perception of these symptoms. The purpos...

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Autores principales: Szebényi, Júlia, Oláh, Péter, Gyulai, Rolland
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9275001/
https://www.ncbi.nlm.nih.gov/pubmed/35979525
http://dx.doi.org/10.1159/000521930
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author Szebényi, Júlia
Oláh, Péter
Gyulai, Rolland
author_facet Szebényi, Júlia
Oláh, Péter
Gyulai, Rolland
author_sort Szebényi, Júlia
collection PubMed
description INTRODUCTION: Nail changes are frequent in psoriasis, and the negative impact of nail psoriasis on patients' quality of life is well known. No data are available however about the association of the objective severity of nail psoriasis and the subjective perception of these symptoms. The purpose of this study was to determine the correlation between the severity of psoriatic nail changes (as determined by the Nail Psoriasis Severity Index [NAPSI]) and the esthetic assessment of nail psoriasis. METHODS: Participants (general population and psoriasis patients) were asked to rate 19 nail images (including psoriatic and healthy nails) on a 0–10 scale, based on how disturbing they considered them esthetically. Objective severity (NAPSI) scores of nails were compared to the subjective evaluation values. RESULTS: Nail symptom severity correlated well with the subjective scores. However, while nails with low (0) and high (6–8) NAPSI values received consistent subjective scores, the esthetic perception of nails with moderate NAPSI scores was rather heterogeneous. The age of the respondents showed robust positive correlation with the subjective assessment of nail symptoms both within the psoriatic and the general population. DISCUSSION: Gender, the presence of psoriasis, or medical education had no significant influence on the esthetic assessment of psoriatic nail changes.
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spelling pubmed-92750012022-08-16 Comparison of the Objective Severity and the Esthetic Perception of Nail Symptoms in Psoriasis Szebényi, Júlia Oláh, Péter Gyulai, Rolland Skin Appendage Disord Research Article INTRODUCTION: Nail changes are frequent in psoriasis, and the negative impact of nail psoriasis on patients' quality of life is well known. No data are available however about the association of the objective severity of nail psoriasis and the subjective perception of these symptoms. The purpose of this study was to determine the correlation between the severity of psoriatic nail changes (as determined by the Nail Psoriasis Severity Index [NAPSI]) and the esthetic assessment of nail psoriasis. METHODS: Participants (general population and psoriasis patients) were asked to rate 19 nail images (including psoriatic and healthy nails) on a 0–10 scale, based on how disturbing they considered them esthetically. Objective severity (NAPSI) scores of nails were compared to the subjective evaluation values. RESULTS: Nail symptom severity correlated well with the subjective scores. However, while nails with low (0) and high (6–8) NAPSI values received consistent subjective scores, the esthetic perception of nails with moderate NAPSI scores was rather heterogeneous. The age of the respondents showed robust positive correlation with the subjective assessment of nail symptoms both within the psoriatic and the general population. DISCUSSION: Gender, the presence of psoriasis, or medical education had no significant influence on the esthetic assessment of psoriatic nail changes. S. Karger AG 2022-07 2022-02-14 /pmc/articles/PMC9275001/ /pubmed/35979525 http://dx.doi.org/10.1159/000521930 Text en Copyright © 2022 by The Author(s) Published by S. Karger AG, Basel https://creativecommons.org/licenses/by/4.0/This article is licensed under the Creative Commons Attribution 4.0 International License (CC BY). Usage, derivative works and distribution are permitted provided that proper credit is given to the author and the original publisher. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
spellingShingle Research Article
Szebényi, Júlia
Oláh, Péter
Gyulai, Rolland
Comparison of the Objective Severity and the Esthetic Perception of Nail Symptoms in Psoriasis
title Comparison of the Objective Severity and the Esthetic Perception of Nail Symptoms in Psoriasis
title_full Comparison of the Objective Severity and the Esthetic Perception of Nail Symptoms in Psoriasis
title_fullStr Comparison of the Objective Severity and the Esthetic Perception of Nail Symptoms in Psoriasis
title_full_unstemmed Comparison of the Objective Severity and the Esthetic Perception of Nail Symptoms in Psoriasis
title_short Comparison of the Objective Severity and the Esthetic Perception of Nail Symptoms in Psoriasis
title_sort comparison of the objective severity and the esthetic perception of nail symptoms in psoriasis
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9275001/
https://www.ncbi.nlm.nih.gov/pubmed/35979525
http://dx.doi.org/10.1159/000521930
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