“…A phase 2, double-blind, placebo-controlled, clinical trial evaluating the efficacy of secukinumab (fully human monoclonal antibody) for patients with moderate to severe plaque PsO of the hands, feet, and nails revealed improvement in patients' disease thus far [46]. Improvement of NAPSI has been reported to be even more rapid in a case series of 15 patients, with a 50% reduction at 6 weeks and an 80% reduction at 12 weeks [47]. A recent case report suggests that secukinumab might also have good efficacy in children with nail PsO [48].…”