Research Article

Overall Prevalence and Prevalence Compared among Psoriasis Treatments of Onychomycosis in Patients with Nail Psoriasis and Fungal Involvement

Table 4

Characteristics of nail psoriasis patients compared among psoriasis treatment regimens.

Number of patients ()
CharacteristicsTopical treatment ()Methotrexate ()Biologic agents#()value
Gender, (%)
 Female9 (36.0%)13 (52.0%)16 (64.0%)
 Male16 (64.0%)12 (48.0%)9 (36.0%)
Age (years), 0.403
Body mass index (kg/m2), 0.042
Concomitant diabetes mellitus, (%)2 (8.0%)7 (28.0%)5 (20.0%)0.226
Occupation, (%)
 Increased risk of hand exposure to water9 (36.0%)17 (68.0%)9 (36.0%)0.032
Nail severity, median (IQR)
 Nail Psoriasis Severity Index score3.0 (2.0, 4.0)3.0 (2.0, 4.0)4.0 (2.0, 4.0)0.979
 Nijmegen-Nail Psoriasis Activity Index score4.0 (3.0, 5.0)4.0 (3.0, 5.0)4.0 (3.0, 5.0)0.333
Patients with diagnosis of onychomycosis
 No15 (60.0%)8 (32.0%)18 (72.0%)0.014
 Yes (right or left hand)10 (40.0%)17 (68.0%)7 (28.0%)

Number of fingernails ()
CharacteristicsTopical treatment ()Methotrexate ()Biologic agents#()value
Candida infection of the nails16 (32.0%)25 (50.0%)9 (18.0%)0.030
Candida colonization of the nails11 (22.0%)8 (16.0%)15 (30.0%)0.245
Candida infection of the nail folds7 (14.0%)8 (16.0%)6 (12.0%)0.847
Candida infection of the nails and nail folds7 (14.0%)7 (14.0%)6 (12.0%)1.000

#Interleukin- (IL-) 17 inhibitors, antitumor necrosis factor, and anti-IL 12/23 were used in 20, 4, and 1 patient, respectively. A value < 0.05 indicates statistical significance. Abbreviations: SD: standard deviation; IQR: interquartile range.