{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T01:56:42Z","timestamp":1782266202259,"version":"3.54.5"},"reference-count":10,"publisher":"Mattioli1885","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Introduction: Dermatological conditions affecting the nails can manifest differently in individuals with distinct skin tones. This often leads to difficulty in the recognition of nail diseases especially in people with skin of color (SoC), that result not well represented in the literature. Objectives: Our aim was to provide dermatologists with useful clues for prompt recognition and diagnosis of nail psoriasis (NPso) and nail lichen planus (NLP) in people with SoC. Methods: We described the ungual manifestations of NPso and NLP in a population of 30 patients with SoC. Diagnosis was primarily based on clinical examination; in cases of diagnostic uncertainty, a biopsy of the nail matrix was performed to obtain histological conclusive evidence. Results: Of the 30 people with SoC in the analysis, 24 patients had NPso with a median Fitzpatrick phototype of 4.77 and 6 patients had NLP with a median Fitzpatrick phototype of 5. Regarding the 24 patients with NPso, 10 presented with trachyonychia, 9 displayed nail pitting, 8 showed onycholysis, 12 had subungual hyperkeratosis, while splinter hemorrhages were visible in 2 patients and activation melanonychia was discernible on the nail plates of 8 patients. Over the 6 patients diagnosed with NLP, all of them had post-inflammatory pigmentation on the proximal nail, with 3 patients exhibiting trachyonychia and 3 others having longitudinal fissures; subungual hyperkeratosis was found in 5 patients, while 3 patients displayed activated melanonychia. Conclusion: People with SoC exhibit a peculiar clinical presentation of both NPso and NLP and a better understanding is essential for providing timely and effective care.<\/jats:p>","DOI":"10.5826\/dpc.1404a235","type":"journal-article","created":{"date-parts":[[2024,10,30]],"date-time":"2024-10-30T12:20:10Z","timestamp":1730290810000},"page":"e2024235","source":"Crossref","is-referenced-by-count":2,"title":["Celebrating Diversity: Unveiling the Characteristics of Nail Psoriasis and Nail Lichen Planus in 30 Patients With Skin Of Color"],"prefix":"10.5826","volume":"14","author":[{"given":"Stephano","family":"Cedirian","sequence":"first","affiliation":[{"name":"Dermatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico S. Orsola-Malpighi, Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michela","family":"Starace","sequence":"additional","affiliation":[{"name":"Dermatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico S. Orsola-Malpighi, Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessio","family":"Natale","sequence":"additional","affiliation":[{"name":"Dermatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico S. Orsola-Malpighi, Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federico","family":"Quadrelli","sequence":"additional","affiliation":[{"name":"Dermatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico S. Orsola-Malpighi, Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaya L.","family":"Curtis","sequence":"additional","affiliation":[{"name":"Weill Cornell Medical College, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shari","family":"Lipner","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Weill Cornell Medicine, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bianca Maria","family":"Piraccini","sequence":"additional","affiliation":[{"name":"Dermatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico S. Orsola-Malpighi, Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"27750","published-online":{"date-parts":[[2024,10,30]]},"reference":[{"key":"10.5826\/dpc.1404a235_ref1","doi-asserted-by":"crossref","unstructured":"Lester JC, Taylor SC, Chren MM. Under-representation of skin of colour in dermatology images: not just an educational issue. Br J Dermatol. 2019;180(6):1521-1522. doi:10.1111\/bjd.17608","DOI":"10.1111\/bjd.17608"},{"key":"10.5826\/dpc.1404a235_ref2","doi-asserted-by":"crossref","unstructured":"Taylor SC. Skin of color: biology, structure, function, and implications for dermatologic disease. J Am Acad Dermatol. 2002;46(2 Suppl Understanding):S41-62. doi:10.1067\/mjd.2002.120790","DOI":"10.1067\/mjd.2002.120790"},{"key":"10.5826\/dpc.1404a235_ref3","doi-asserted-by":"crossref","unstructured":"Canal-Garc\u00eda E, Bosch-Amate X, Belinch\u00f3n I, Puig L. Nail Psoriasis. Actas Dermosifiliogr. 2022;113(5):481-490. doi:10.1016\/j.ad.2022.01.006","DOI":"10.1016\/j.ad.2022.01.006"},{"key":"10.5826\/dpc.1404a235_ref4","doi-asserted-by":"crossref","unstructured":"Iorizzo M, Tosti A. Updates in treatment and impact of nail psoriasis. Expert Rev Clin Immunol. 2023;19(9):1091-1100. doi:10.1080\/1744666X.2023.2215987","DOI":"10.1080\/1744666X.2023.2215987"},{"key":"10.5826\/dpc.1404a235_ref5","doi-asserted-by":"crossref","unstructured":"Iorizzo M, Gioia Di Chiacchio N, Di Chiacchio N, et al. Intralesional steroid injections for inflammatory nail dystrophies in the pediatric population. Pediatr Dermatol. 2023;40(4):759-761. doi:10.1111\/pde.15295","DOI":"10.1111\/pde.15295"},{"key":"10.5826\/dpc.1404a235_ref6","doi-asserted-by":"crossref","unstructured":"Gupta MK, Lipner SR. Review of Nail Lichen Planus: Epidemiology, Pathogenesis, Diagnosis, and Treatment. Dermatol Clin. 2021;39(2):221-230. doi:10.1016\/j.det.2020.12.002","DOI":"10.1016\/j.det.2020.12.002"},{"key":"10.5826\/dpc.1404a235_ref7","doi-asserted-by":"crossref","unstructured":"Ankad BS, Gupta A, Alekhya R, Saipriya M. Dermoscopy of Onycholysis Due to Nail Psoriasis, Onychomycosis and Trauma: A Cross Sectional Study in Skin of Color. Indian Dermatol Online J. 2020;11(5):777-783. doi:10.4103\/idoj.IDOJ_475_19","DOI":"10.4103\/idoj.IDOJ_475_19"},{"key":"10.5826\/dpc.1404a235_ref8","doi-asserted-by":"crossref","unstructured":"Chang MJ, Lee D, Desai AD, Lipner SR. Disparities in time to diagnosis and disease severity in skin of colour patients with nail psoriasis: A retrospective analysis. J Eur Acad Dermatol Venereol. Published online April 5, 2023. doi:10.1111\/jdv.19110","DOI":"10.1111\/jdv.19110"},{"key":"10.5826\/dpc.1404a235_ref9","doi-asserted-by":"crossref","unstructured":"Kluger N. Nail Lichen Planus in Skin of Color. Journal of Cutaneous Medicine and Surgery. 2023;27(2):182-182. doi:10.1177\/12034754221147293","DOI":"10.1177\/12034754221147293"},{"key":"10.5826\/dpc.1404a235_ref10","unstructured":"Kelly, A. P., Taylor, S. C., Lim, H. W., & Anido Serrano, A. M. (2016). Taylor and Kelly's Dermatology for Skin of Color (2nd ed.)."}],"container-title":["Dermatology Practical &amp; Conceptual"],"original-title":[],"link":[{"URL":"https:\/\/dpcj.org\/index.php\/dpc\/article\/download\/4368\/2908","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/dpcj.org\/index.php\/dpc\/article\/download\/4368\/3374","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/dpcj.org\/index.php\/dpc\/article\/download\/4368\/2908","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T10:00:10Z","timestamp":1762423210000},"score":1,"resource":{"primary":{"URL":"https:\/\/dpcj.org\/index.php\/dpc\/article\/view\/4368"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,30]]},"references-count":10,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.5826\/dpc.1404a235","relation":{"has-manifestation":[{"id-type":"other","id":"1-77-4368-g2908","asserted-by":"subject"},{"id-type":"other","id":"1-77-4368-g3374","asserted-by":"subject"}],"is-part-of":[{"id-type":"other","id":"1-77 10.5826\/","asserted-by":"subject"}]},"ISSN":["2160-9381"],"issn-type":[{"value":"2160-9381","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,30]]},"article-number":"10"}}