Yorulmaz Ahu
Department of Dermatology, Ankara Bilkent City Hospital, Ankara, Turkey.
Acta Dermatovenerol Alp Pannonica Adriat. 2023 Mar;32(1):11-15.
Dermoscopy is a highly practical noninvasive diagnostic tool. Several dermoscopic algorithms have been proposed in the evaluation of skin diseases, which allow clinicians not only to identify and make differential diagnosis, but also to determine the treatment choices in challenging clinical circumstances. Over the years, we have witnessed a rapid increase in the utilization of dermoscopy in the assessment of nail disorders. However, to assess the diagnostic utility of dermoscopy in inflammatory nail diseases, current evidence is insufficient. Nail psoriasis is a significant challenge because of the difficulties in its diagnosis. Detection of nail involvement is of utmost importance in psoriasis because it is highly associated with arthritis, which is an indication for systemic treatment. Dermoscopy holds promise as a potential tool in the diagnosis of nail psoriasis, capable of providing characteristic clinical findings without any delay and discomfort. This review summarizes current evidence regarding the unique dermoscopic features of nail psoriasis. It addresses whether dermoscopy may serve as the gold-standard diagnostic tool, excluding the necessity of histopathological examination for the ultimate diagnosis of nail psoriasis.
皮肤镜检查是一种非常实用的非侵入性诊断工具。在皮肤疾病评估中已经提出了几种皮肤镜算法，这使得临床医生不仅能够识别和进行鉴别诊断，还能在具有挑战性的临床情况下确定治疗方案。多年来，我们目睹了皮肤镜检查在指甲疾病评估中的应用迅速增加。然而，目前评估皮肤镜检查在炎症性指甲疾病中的诊断效用的证据不足。由于指甲银屑病诊断困难，它是一个重大挑战。在银屑病中，检测指甲受累至关重要，因为它与关节炎高度相关，而关节炎是全身治疗的指征。皮肤镜检查有望成为诊断指甲银屑病的潜在工具，能够立即提供特征性临床发现且无任何延迟和不适。本综述总结了关于指甲银屑病独特皮肤镜特征的现有证据。它探讨了皮肤镜检查是否可作为金标准诊断工具，排除组织病理学检查对于指甲银屑病最终诊断的必要性。
