Napsi

Napsi

CORRESPONDENCE

Napsi^*

Napsi

Ana Maria Tchornobay

Assistant Professor of Dermatology, Federal University of Paraná (UFPR). Full member of the Brazilian Society of Dermatology; Dermatologist at the Reference Center for Medical Specialties, Curitiba Metropolitan Area, State of Paraná - Curitiba (PR), Brazil

^{Mailing address}

I would like to comment on the article "NAPSI utilization as an evaluation method of nail psoriasis in patients using acitretin".¹ On page 267, the authors report that onycholisis, splinter hemorrhages, subungueal hyperkeratosis and oil drop are manifestations of nail matrix disease. In fact, these signs are a consequence of nail bed disease.^2,3 In addition, they use "L" for "lamina" (nail plate) to refer to the same signs in Figure 1 and Graph 1. It would be better to use "L" for "Leitoungueal" (nail bed). The clinical signs associated with nail psoriasis are attributed to specific structures in the nail unit, and accurate information regarding the various aspects of nail psoriasis is relevant to the understanding of the pathogenesis of psoriasis.

Received on 19.07.2012.

Approved by the Advisory Board and accepted for publication on 27.07.2012.

Financial Support: none.

Conflict of Interests: none.

• 1. MukaiMM, OoffoIF, WernerB, BrennerFM, LimaFilho JHC. NAPSI utilization as an evaluation method of nail psoriasis in patients using acitretin An Bras Dermatol. 2012;87:266-72
• 2. Jiaravuthisan MM, Sasseville D, Vender RB, Murphy F,Muhn CY. Psoriasis of the nail: anatomy, pathology, clinical presentation and a review of the literature on therapy. J Am AcadDermatol. 2007;57:1-27
• 3. Rich P,Scher RK. Nail Psoriasis Severety Index: A useful tool for evaluation of nail psoriasis J Am AcadDermatol. 2003;49:206-12.

Mailing address:

Ana Maria Tchornobay

Rua Marechal Hermes, 798 - Apt. 803 Centro Cívico

80530230 Curitiba, PR

*

Work conducted at Centro de Referência de Especialidades Metropolitano (CRE) - Curitiba (PR), Brazil.

Publication Dates

• Publication in this collection
  01 Oct 2012
• Date of issue
  Oct 2012