Nail disorder- how to treat this condition?

[RUPREKHA]

A 46-year-old man presented with pain in one big toe with isolated yellowish thickening of the nail plate. His family physician had diagnosed gout, but medication to lower the uric acid level had not led to any sustained improvement. The diagnosis of psoriatic onycho-pachy-dermo-periostitis (POPP) syndrome was established—a special type of psoriatic arthritis and an important element in the differential diagnosis of acute gout. How to treat this condition?

[Jiban]

@ruprekha Nail disorders can arise at any age. About half of all nail disorders are of infectious origin, 15% are due to inflammatory or metabolic conditions, and 5% are due to malignancies and pigment disturbances. The differential diagnosis of nail disorders is often an area of uncertainty. Evaluation of the nail organ is an important diagnostic instrument. Aside from onychomycosis, which is a common nail disorder, important differential diagnoses such as malignant diseases, drug side effects, and bacterial infections must be considered.