Nail psoriasis psoriasis of the nails develops is

Nail psoriasis

• psoriasis of the nails develops is not completely known but common • Nail involvement appears to result from a combination of genetic (inherited), immunologic, and environmental factors • severe nail involvement is more likely in the presence of arthritis • people who have nail psoriasis also have skin symptoms, . If someone has psoriasis of the nails but does not have skin symptoms, the condition may be difficult for a doctor to diagnose, since the signs of psoriasis of the nails resemble those of fungal infection of the nails

• nail changes that may occur: : • 1 - thimble pitting. . : discrete , well-circumscribed depression on nail surface when cells are lost from the nail's surface. (--best-known nail change ) • 2 - onycholysis. . separation of the nail from the nail bed at free edge • 3 - subungual hyperkeratosis. . silvery white crusting under free edge of nail with some thickening of nail plate • 4 -oil spots. . yollowish-brown spots under the nail plate • 5 -Crumbling of the nail. . brittle and weaken because the underlying structures are not healthy. . • 6 -Transverse lines and ridges are due to intermittent inflammation

• • • Complications of nail psoriasis (Nail psoriasis is unsightly) Pain and tenderness Functional disability Psychological distress Secondary bacterial infection (acute paronychia) fungal infection (chronic paronychia, onychomycosis)

• There is no effective topical treatment for psoriasis of the nails. • The goal of treatment is to improve the function and appearance of psoriatic nails. • If the nails have a fungal infection, a doctor will prescribe an antifungal medication • What Is the Treatment for Nail Psoriasis? Treatments include: q topical medicines, such as creams applied directly to the nails q systemic medications, which affect the whole body q intralesional therapies, which involve a doctor injecting medication into the nail bed

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