Nail Psoriasis

By Dr. Totenkopf | July 23, 2016

Psoriasis affected patients frequently complain of the deterioration of their nail state. They become thicker and change their color and shape. It gives ground to qualify them as psoriasis nails. There are many nail psoriasis treatment techniques which can significantly help you to harness the disease & improve the way your nails look.

Common nail psoriasis symptoms comprise:

Nail Psoriasis

• Nail pitting
• Nail tenderness and painfulness
• Nail separation from the bed
• Change of color into yellow-brown
• Appearance of chalk-like material in the under-nail space.
Fungal infection can significantly aggravate the condition of your nails.

Nail Psoriasis Treatment

Psoriasis of the nails should be treated with the same medications applied for healing skin form. Don’t expect immediate effect as it will take some time for your slowly growing nails to display the treatment result on a newly grown part.

Treatment methods are the following:
Phototherapy. Ultraviolet light helpful for skin psoriasis can be equally used for nail one. A clinic or a doctor’s office are typical treatment places.

Systemic medications, as doctors officially call them, or medicines working throughout the whole body include:
• Cyclosporine
• Acitretin
• Methotrexate
Biologics or drugs targeting the immune system’s specific parts. They are taken by mouth, through an IV, or by means of an under-skin injection. The most common medications of this type are:
1) Etanercept (Enbrel®);
2) Apremilast (Otezla®);
3) Adalimumab (Humira®);
4) Golimumab (Simponi®);
5) Infliximab (Remicade®);
6) Ustekinumab (Stelara®).

Topical medications or those applied to your nails directly. Your doctor may prescribe a cholecalciferol (vitamin D3), corticosteroid (e.g. clobetasol), or retinoid cream for rubbing into nails and cuticles daily.
In case your nails are thick the topical medicine effectiveness can be a bit lower because of a longer time needed for getting inside. Urea-containing ointments or gels can help solve this problem.
To hydrate and strengthen your damaged nails a special nail lacquer can be prescribed which you will have to use daily following the technique of nail polishing.
Another method is injecting corticosteroid under the nail surface in the prescribed intervals, usually every 2 to 9 months. Your doctor will take measures to make this procedure less painful.

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