Abstract
Background
Nail psoriasis, characterized by chronic inflammation, is a debilitating disease that affects many patients worldwide. Currently, we are lacking standardized therapeutic treatment regimens for controlling and remitting nail psoriasis because delivering sufficient concentrations of drugs into the nail plate and nail bed is difficult.
Observation
This case describes a 43-year-old female with an 8-year history of refractory nail bed psoriasis. The patient was treated unsuccessfully with a variety of therapies (e.g., corticosteroids, intralesional injections, phototherapy). The patient responded well to topical application of indigo naturalis oil extract, achieving significant improvement of the onycholysis and splinter hemorrhages and complete recovery in subungual hyperkeratosis of the affected fingernails.
Conclusion
While additional studies are needed, indigo naturalis oil extract appears to be a safe and effective alternative treatment for nail psoriasis. Indigo naturalis oil extract is an inexpensive, easy to use, and low-risk therapy that demonstrates improved patient compliance and outcomes.
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