Beau's Lines After Razoxane Therapy for Psoriasis

Autor: Ronald E. Church, William F. G. Tucker
Rok vydání: 1984
Předmět:
Zdroj: Archives of Dermatology. 120:1140
ISSN: 0003-987X
DOI: 10.1001/archderm.1984.01650450022008
Popis: To the Editor.— We were interested to read the AprilArchivescase report by James and Odom 1 describing transverse white lines in the fingernails following chemotherapy and the subsequent short report in the JulyArchivesby Wantzin and Thomsen 2 of pigmented nail bands, nail shedding, and acute paronychia following high-dose methotrexate therapy. Both sets of authors attributed the nail changes to an alteration of nail growth, and Wantzin and Thomsen postulated that this was the consequence of a direct cytotoxic action on the nail matrix and paronychium. We have long been surprised that Beau's lines and striate leukonychia, which probably both represent disturbances in nail growth of varying severity, are so seldom seen in patients undergoing systemic chemotherapy with methotrexate for psoriasis. A course of regular chemotherapy with razoxane (ICRF 159) ( ± )1,2-bis (3,5-dioxopiperazin-1-yl) propane was recently started for a 70-year-old man with severe psoriasis. This is a
Databáze: OpenAIRE