A pilot study of intralesional methotrexate injections versus triamcinolone acetonide in patients affected by nail matrix psoriasis.


Journal

Clinical and experimental dermatology
ISSN: 1365-2230
Titre abrégé: Clin Exp Dermatol
Pays: England
ID NLM: 7606847

Informations de publication

Date de publication:
Jun 2022
Historique:
revised: 10 01 2022
received: 24 12 2021
accepted: 17 01 2022
pubmed: 5 2 2022
medline: 7 6 2022
entrez: 4 2 2022
Statut: ppublish

Résumé

Nail disorders in general are difficult to treat and often frustrating, and this is also the case with nail psoriasis, especially when it is limited to the nails, and not affecting joints. The quality of life of patients with nail psoriasis is negatively affected, owing to the chronic course of the disease and frequent relapses. The purpose of this study was to compare treatment response and maintenance of response during follow-up of 12 patients with nail matrix psoriasis limited to a few nails, who were treated with intralesional injections of either methotrexate (MTX) 25 mg/mL or triamcinolone acetonide 10 mg/mL. Patients were treated every 6 weeks for 24 weeks and followed up for 6 months. Photographic documentation and assessment by Nail Psoriasis Severity Index were performed during each treatment session and at each follow-up visit. At the end of the four treatment sessions, all patients had improvement of their disease, which continued during follow-up, especially for the MTX-treated group.

Identifiants

pubmed: 35118697
doi: 10.1111/ced.15110
pmc: PMC9303444
doi:

Substances chimiques

Triamcinolone Acetonide F446C597KA
Methotrexate YL5FZ2Y5U1

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1165-1168

Subventions

Organisme : Universita degli Studi di Bologna

Informations de copyright

© 2022 The Authors. Clinical and Experimental Dermatology published by John Wiley & Sons Ltd on behalf of British Association of Dermatologists.

Références

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pubmed: 31644634
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pubmed: 21118309
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pubmed: 32380222
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pubmed: 30255281
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pubmed: 29536977
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pubmed: 28397295

Auteurs

Michela Starace (M)

Dermatology Unit, IRCCS Policlinico Sant'Orsola, Department of Experimental, Diagnostic and Specialty Medicine (DIMES) Alma Mater Studiorum University of Bologna, Bologna, Italy.

Aurora Alessandrini (A)

Dermatology Unit, IRCCS Policlinico Sant'Orsola, Department of Experimental, Diagnostic and Specialty Medicine (DIMES) Alma Mater Studiorum University of Bologna, Bologna, Italy.

Matilde Iorizzo (M)

Private Dermatology Practice, Lugano and Bellinzona, Switzerland.

Ambra D'Altobrando (A)

Dermatology Unit, AUSL Romagna, Ravenna, Italy.

Tiziano Ferrari (T)

Dermatology Unit, IRCCS Policlinico Sant'Orsola, Department of Experimental, Diagnostic and Specialty Medicine (DIMES) Alma Mater Studiorum University of Bologna, Bologna, Italy.

Francesca Bruni (F)

Dermatology Unit, IRCCS Policlinico Sant'Orsola, Department of Experimental, Diagnostic and Specialty Medicine (DIMES) Alma Mater Studiorum University of Bologna, Bologna, Italy.

Bianca Maria Piraccini (BM)

Dermatology Unit, IRCCS Policlinico Sant'Orsola, Department of Experimental, Diagnostic and Specialty Medicine (DIMES) Alma Mater Studiorum University of Bologna, Bologna, Italy.

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Classifications MeSH