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:

topical medicines, such as creams applied directly to the nails

systemic medications, which affect the whole body

intralesional therapies, which involve a doctor injecting medication into the nail bed

Thank you