A Clinical Observation on the Efficacy and Safety of Pulsed Dye Laser (PDL) in the Treatment of Nail Psoriasis
A Clinical Observation on the Efficacy and Safety of Pulsed Dye Laser (PDL) in the Treatment of Nail Psoriasis
1. Psoriasis is a common chronic, inflammatory disease characterized by skin changes and
 joint involvement. About 50% of patients with psoriasis have damage to the nail,
 especially in pustular psoriasis in the continuous acromegaly dermatitis. Common damage
 includes pitting, uneven and tarnish of the deck, as well as the occurrence of nail
 ridges, furrows, turbidity, hypertrophy, free ends and nail bed stripping, and even the
 whole deck deformity or absence, etc., seriously affecting patients' social interaction
 and mental health. Pathologically, telangiectasis is associated with the superficial and
 middle layers of the dermis. Previous treatment of psoriasis nail is mainly topical
 drugs (such as glucocorticoid, etc.), but due to its long disease period, topical drugs
 are difficult to transdermal absorption, and the curative effect of skin lesions is
 poor.

 2. Pulsed dye laser (PDL) is effective for vasodilatory diseases, especially for the
 superficial to middle layers of the dermis

 3. It has been reported that PDL is effective in the treatment of psoriasis vulgis by
 blocking the nutrient supply vessels of the lesions, improving the surrounding
 microenvironment, reducing the number of cytotoxic T cells and helper T cells in the
 dermis, and promoting the normalization of epidermal proliferation and differentiation.

 4. Halometasone is a potent halogen - containing topical glucocorticoid. Have stronger
 fight inflammation, fight allergy, contractive hemal, reduce hemal to connect the action
 of permeability and fight hyperplasia Vaseline belongs to a kind of mineral wax, without
 irritant, not easy to deteriorate, can let skin surface form a protective film when used
 on the skin, let the moisture of the skin be evaporated not easily, have better protect
 wet effect.
Inclusion Criteria:

 .subjects must be clinically diagnosed by the investigator to have nail psoriasis .All
 nails have psoriasis on both hand.Males or females, 18 Years to 65 Years of age at the time
 of signing the informed consent document.

 .No other external treatment was performed before the injury was treated. .The condition of
 no rupture or infection in the skin affected the field of vision of laser operation.

 .The patient has no history of treatment of biological preparations, such as Indolisimab,
 etc.

 .Check blood routine, liver and kidney function, normal blood sugar, female urine pregnancy
 test negative during childbearing age.

 .Understand and voluntarily sign an informed consent document prior to any study related
 assessments/procedures being conducted.

 Exclusion Criteria:

 -  Pregnant or lactating women with a history of light sensitivity;

 -  The patient has just stopped or started new systemic treatment; Patients with serious
 infectious diseases;

 -  suffering from severe diabetes, severe cardiovascular disease and connective tissue
 disease;

 -  patients with a history of active tuberculosis, blood diseases, and epilepsy;

 -  There are infected persons and patients with acute infectious diseases in the
 treatment site;

 -  Patients who are considered by the researchers to be unfit to participate in this
 experiment