RESUMO
A case is presented of a 49-year-old man with psoriasis limited to the nails for 12 years. The patient had no evidence of psoriasis elsewhere. He had been treated with a year-long course of griseofulvin and 2 months of weekly fluconazole without effect before the diagnosis of psoriasis was made by biopsy of the lateral nail fold. Options for the treatment of nail psoriasis are reviewed.
Assuntos
Doenças da Unha , Psoríase , Humanos , Masculino , Pessoa de Meia-Idade , Doenças da Unha/tratamento farmacológico , Doenças da Unha/patologia , Psoríase/tratamento farmacológico , Psoríase/patologiaRESUMO
A 72-year-old man with diabetes-associated scleredema is presented. The patient had a long history of diabetes mellitus that had been difficult to control with complications of retinopathy, nephropathy, and arteriosclerosis leading to myocardial infarcts and stroke. The scleredema has remained stable with 4 months of topical clobetasol ointment twice daily and biweekly physical therapy. Diseases associated with scleredema and therapeutic options are summarized.
