Efficacy of Nonablative Bipolar Radiofrequency in the Treatment of Fingernail Psoriasis.

IF 2.5 3区医学 Q2 DERMATOLOGY

Dermatologic Surgery Pub Date : 2024-12-16 DOI:10.1097/DSS.0000000000004531

Mohamed Ahmed Salem El-Basiony, Mohamed Hussein Medhat El-Komy, Nevien Ahmed Samy, Dalia Gamal Aly, Hala El-Gendy, Mohamed Mohsen Soliman, Mohamed Fouad Abdel Salam Hassan, Hagar El Sayed

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引用次数: 0

Abstract

Background: Psoriasis is a common chronic systemic disease affecting the skin, nails, and joints. Nails are commonly associated with a greater severity of the disease. Radiofrequency (RF) is a nonionizing radiation that provides energy originating from electric current to generate heat inside the dermis with anti-inflammatory effects.

Objective: To assess the efficacy of nonablative bipolar radiofrequency in treating fingernail psoriasis.

Methods: Forty-three affected fingernails were treated with nonablative bipolar RF. Sessions were performed every 2 weeks for 2 months, with a maximum of 5 sessions. The 32-point target nail psoriasis severity index (tNAPSI), ultrasonography, and the physicians' global assessment were used for assessment at baseline, 1 month, and 3 months from the last treatment session.

Results: One month after the last RF session, a significant reduction in median tNAPSI score from baseline was recorded (p = .002), with a 58.33% reduction in pit count. The median thickness of subungual hyperkeratosis decreased significantly from baseline (p = .024), and the median score of onycholysis was also significantly reduced (p = .005). Ultrasonography revealed a significant reduction in the median nail matrix, bed thickness, and nail vascularity (p = .020, p < .001, and p = .013, respectively).

Conclusion: Radiofrequency may offer a safe and effective treatment modality for fingernail psoriasis.

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非烧蚀双极射频治疗指甲银屑病的疗效。

背景：银屑病是一种常见的影响皮肤、指甲和关节的慢性全身性疾病。指甲通常与疾病的严重程度有关。射频（RF）是一种非电离辐射，它提供来自电流的能量，在真皮内产生具有抗炎作用的热量。目的：评价非消融双极射频治疗指甲型银屑病的疗效。方法：采用非烧蚀双极射频治疗43例患指甲。每两周进行一次，为期2个月，最多5次。采用32点目标指甲银屑病严重程度指数（tNAPSI）、超声检查和医生的整体评估在基线、最后一次治疗后1个月和3个月进行评估。结果：在最后一次射频治疗后一个月，tNAPSI评分中位数较基线显著降低（p = 0.002），其中窝计数减少58.33%。甲下角化过度的中位厚度较基线显著降低（p = 0.024），骨髓瘤溶解的中位评分也显著降低（p = 0.005）。超声检查显示甲中位基质、甲床厚度和甲血管密度明显减少（p = 0.020, p < 0.001, p = 0.013）。结论：射频治疗是一种安全有效的治疗指甲银屑病的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Dermatologic Surgery 医学-皮肤病学

CiteScore

3.10

自引率

16.70%

发文量

547

期刊介绍： Exclusively devoted to dermatologic surgery, the Dermatologic Surgery journal publishes the most clinically comprehensive and up-to-date information in its field. This unique monthly journal provides today’s most expansive and in-depth coverage of cosmetic and reconstructive skin surgery and skin cancer through peer-reviewed original articles, extensive illustrations, case reports, ongoing features, literature reviews and correspondence. The journal provides information on the latest scientific information for all types of dermatologic surgery including: -Ambulatory phlebectomy- Blepharoplasty- Body contouring- Chemical peels- Cryosurgery- Curettage and desiccation- Dermabrasion- Excision and closure- Flap Surgery- Grafting- Hair restoration surgery- Injectable neuromodulators- Laser surgery- Liposuction- Microdermabrasion- Microlipoinjection- Micropigmentation- Mohs micrographic surgery- Nail surgery- Phlebology- Sclerotherapy- Skin cancer surgery- Skin resurfacing- Soft-tissue fillers. Dermatologists, dermatologic surgeons, plastic surgeons, oculoplastic surgeons and facial plastic surgeons consider this a must-read publication for anyone in the field.