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Durmazlar SPK et al. – A 24–year–old man presented with an 11–year history of recurrent flares of painful pustular and scaly lesions on the distal portion of his fingers and toes, with persistent nail dystrophy. Based on the clinical and histopathological findings, ACH was diagnosed. The patient was treated with topical 8–methoxypsoralen (8–MOP) without occlusion, plus local narrowband ultraviolet B (NB–UVB) phototherapy.Ten weeks later, when the patient had received 20 sessions, almost all the lesions had cleared. The authors report the first case of ACH which successfully responded to treatment with 8–MOP/NB–UVB.


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