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Tazarotene 0.1% gel in the treatment of fingernail psoriasis: a double-blind, randomized, vehicle-controlled study.

Abstract
A double-blind, randomized, vehicle-controlled, parallel-group trial was performed to compare the efficacy and tolerability of tazarotene 0.1% gel and vehicle gel in 31 patients with fingernail psoriasis. Patients were randomized to receive tazarotene or vehicle gel, which they applied each evening for up to 24 weeks to 2 target fingernails, one under occlusion and one unoccluded. The tazarotene treatment resulted in a significantly greater reduction in onycholysis in occluded nails (P < or = .05 at weeks 4 and 12) and a significantly greater reduction in onycholysis in nonoccluded nails (P < or = .05 at week 24). Tazarotene also resulted in a significantly greater reduction in pitting in occluded nails (P < or = .05 at week 24). There were no other significant between-group differences in pitting, subungual hyperkeratosis, leukonychia, nail plate crumbling/loss, splinter hemorrhage, or nail growth rate. Tazarotene 0.1% gel was well tolerated with only 5 of the 21 tazarotene-treated patients reporting a treatment-related adverse event (all mild or moderate). In conclusion, tazarotene 0.1% gel can significantly reduce onycholysis (in occluded and nonoccluded nails) and pitting (in occluded nails) and is well tolerated in the treatment of nail psoriasis.
AuthorsR K Scher, M Stiller, Y I Zhu
JournalCutis (Cutis) Vol. 68 Issue 5 Pg. 355-8 (Nov 2001) ISSN: 0011-4162 [Print] United States
PMID11766122 (Publication Type: Clinical Trial, Comparative Study, Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
Chemical References
  • Dermatologic Agents
  • Gels
  • Nicotinic Acids
  • tazarotene
Topics
  • Adult
  • Dermatologic Agents (adverse effects, therapeutic use)
  • Double-Blind Method
  • Drug Evaluation
  • Female
  • Fingers (pathology)
  • Gels (therapeutic use)
  • Humans
  • Male
  • Nail Diseases (complications, drug therapy)
  • New York
  • Nicotinic Acids (adverse effects, therapeutic use)
  • Psoriasis (complications, drug therapy)
  • Severity of Illness Index
  • Time Factors
  • Treatment Outcome

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