EADV Congress 2025 session spotlight
Updates
- Thu 18 Sep
- 14:15 - 15:45 CEST
- Paris Sud room
Presentation details:
Nail psoriasis
Matilde Iorizzo, Switzerland
Lecture description
Nail psoriasis is a frequent and often underestimated manifestation of psoriasis, affecting up to 60% of patients and up to 80% of those with psoriatic arthritis. In a smaller subset, nail disease may present in isolation. This presentation will explore the distinct clinical signs of nail matrix, bed, and fold involvement, and highlight the critical role of clinical examination, dermoscopy, and imaging in diagnosis. Given the association between nail psoriasis and psoriatic arthritis, early recognition is essential to prevent joint damage. Recent advances in imaging modalities such as HFUS, RCM, and OCT for the early diagnosis and monitoring of nail psoriasis will then be discussed.
Treatment remains challenging due to the anatomy of the nail unit and slow nail growth, requiring long-term management strategies tailored to the patient’s disease severity, comorbidities, and quality of life impact.
This presentation will review topical, intralesional, systemic, biologic and small molecules treatments, outlining indications based on the site and severity of nail involvement. Through this comprehensive approach, dermatologists can optimize outcomes for patients suffering from this complex and often distressing manifestation of psoriasis.
Learning objectives:
- Recognize the clinical features of nail psoriasis based on the affected anatomical site (matrix, bed, fold)
- Learn the association between nail psoriasis and psoriatic arthritis and identify when referral to rheumatology is indicated
- Understand the diagnostic tools available, including dermoscopy, biopsy, and advanced imaging techniques
- Review and apply current treatment options based on severity and patient factors
- Appreciate recent advances in research and the role of emerging therapies in the management of nail psoriasis
