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Underrepresentation of Black patients with psoriasis in trials and textbooks might partially explain why clinicians are slow to recognize nail involvement, even after psoriasis has been diagnosed. ....
No well-designed trials have shown efficacy for vitamins and supplements such as biotin, vitamin D, amino acids, and chromium for treating brittle nail syndrome, according to Dr Shari Lipner. ....
Systemic therapy is warranted in patients with moderate-to-severe involvement of specific sites or in those refractory to topical therapy, according to Dr April Armstrong. ....