Nail Psoriasis. Psoriasis on the nails. Nail psoriasis is usually diagnosed as onychodystrophy or is even mistaken it for the classic fungal infections
(onychomycosis). Apart from the pain, in the case of nail psoriasis changes are observed in the nail appearance.
Psoriasis is a non-contagious, chronic and recurring disease that generally consists of inflammatory skin disorder.
This disease, which appears as specific skin lesions according to its own typology, affects not only the skin but also the different keratin plates of the
fingernails and toenails.
In fact, this nails damage frequently occurs during psoriasis, even at first stages, and has a considerable impact in the quality of life of those who suffer from it. Besides, this makes hard to do the simplest daily activities because it causes some problems with hands strength or prevent people from walking when the toenails are affected by the disease. This negative effect cannot be stopped if misdiagnosed, as a matter of fact, it is common that nail psoriasis is diagnosed as onychodystrophy or is even mistaken it for the classic fungal infections (onychomycosis) and, therefore, is treated with anti-fungal medicines obtaining unsuccessful results.
Nails that have always been considered the mirror of our health, are, in this case, more than never the true image of it because they show a real sign of
alarm allowing an early diagnosis for skin psoriasis. Studies show that nails diseases are related in
10% with dermatological problems and 50% with psoriasis.
How do we know if we suffer from nail psoriasis?
Apart from the pain, in the case of nail psoriasis some significant changes are observed in the nail appearance.
These changes, in only one person, can occur separately or as a combination of them.
The main nail changes, also known as onychopathies, are:
• The plate color usually turned white-yellowish;
• Hyperkeratosis or vertical grow of the nail due to abnormal grow of flakes that accumulate beneath the nail plate producing its
•Irregular, opaque and rough surface lined with longitudinal-trachyonychia marks, a sign of alarm indicating psoriatic arthritis;
•Onychomadesis or detachment of nail matrix;
•Nail pitting or small depressions that vary in form and distribution due to the presence of groups of parakeratosis cells that block the normal process of
Note: In this case, the dermatologist will assess psoriasis by counting, literally, the nail depressions and will decide, according to the amount, the
severity of the disease.
Nails are always visible, especially in interpersonal relations, like, for example, when we shake hands with someone for professional or social reasons. In
this way, it is necessary to keep an eye on them and treat them properly in order to avoid being afraid of socializing and to boost self-confidence and self-esteem.
Here you have some tips that will be required to prevent nails from severe damages:
1. Time will be need to see improvement. From 6 months to one year for the recovery of the damage nail;
2. Don’t use artificial nails or make nail refill because they can produce adverse reaction to the glue or gel;
3. Take advantage of good weather to use sandals. The sun, even in this case, is a good ally for nail psoriasis, though it is not necessary a long-term sun
4. After washing your hands and feet, remember to dry well nail edges with a towel to remove the humidity that would seeped into the
5. Avoid long-term feet bath due to it can soften the nail too much, leading to aggravate the disease and making the nail vulnerable to
6. Add vitamins, like vitamin D, C and A, to your diet that are beneficial for your health.
7. Keep your nails short to avoid later traumas. It is also important to cut your nails (better after a bath) with nail clippers or small scissors. Use the
nail file to soften the nail corners and thus, prevent it from annoying flakes.
If you prefer to go to a manicure and/or pedicure in a beauty salon, you must always take into account the disease; this will make the beautician to be
delicate and to use the right tools.