Nail psoriasis: symptoms and treatment

This may be accompanied with as little damage and the spread of the psoriatic plates all over the body – this depends on the severity of the phenomenon, and the forms of the disease and the stage at which it is located. The disease is characterized by different periods of exacerbations and remissions and can last for years and years, if not decades.

nail psoriasis

Symptoms of nail psoriasis

Despite the fact that nail psoriasis is considered an independent disease, but sometimes it is seen as a form of vulgar extensive psoriasis or announces his appearance.

Approximately half of the cases there was psoriasis of the nails and skin.

Symptoms of psoriasis of the nail may vary depending on the affected area. Pathological changes of the root part (the matrix), that affect the length, shape and to some extent the thickness of the nail plate, and pathology of bed (connectivity layer, which serves as a base plate) affects mainly the thickness. Because of these characteristics, the disease may manifest in the following forms:

  • Form of the thimble, which is typical for the bending and the fogging of the plate; so it becomes like a hook. The stratum corneum occur in the grooves, and the deeper point, which is located in a chaotic manner. It is interesting that education on a variety of soils that vary in size, shape and color. The pressure on this "thimble" cause pain;
  • When the distortion and violation of the integrity of the nail, accompanied by a colour change and disconnect from the base of the finger. Complement this embarrassing picture under penetrated peeling nails, air bubbles and dirt mixed with dead epidermal particles;
  • When in connection with damage to the capillary blood vessels under the nails appear blue, brown or red translucent dots or stripes, and the plate becomes turbid and changes its appearance, say about psoriasis under the nails. In other words, the dark spots on the nails psoriasis is a sign of subungual bleeding. When the power affects the diseased nail may be the appearance of pus.

Of the many other, less common manifestations of the disease we will note when the nail becomes rough and coarse and dull; with painful infiltrates, affecting the rollers.

In addition to the physical discomfort and constant pain in combination with itching, psoriasis on legs, especially psoriasis of the nails on the hands, more conspicuous, causing the patient a lot of psychological suffering and negative emotions, due to the poor form of their limbs. This is what makes the millions of people on Earth, to think about how to treat psoriasis? How to restore nails to their original state?

Diagnostic features

It often happens that the diagnosis of psoriasis is complicated by the fact that many of these symptoms are, and other dermatological diseases, in particular some fungal infections. Such disorientation may occur, for example, if the body of the patient does not have the feature of panels that are used to uniquely judge about psoriasis.

Now, nail psoriasis or fungus? How to distinguish between psoriasis of the nail fungus? The main difference is in the nature of the disease. The fungus is contagious and can easily spread from sick to healthy through direct contact or by using common household items. Patients with psoriasis in relation to this, not a threat.

On visual or other perceptible difference, there is more. Fungal infections of the scales around the affected nail, it easily separates from the skin, which is not typical for the initial phase of psoriasis. Next: separation of the nail from the base of psoriasis does not mean that the deformation is not accompanied by pain, such as with candidiasis or fungal infections. Another difference of psoriasis – there is no unpleasant odor specific to candidiasis.

Psoriatic lesions can be observed in other skin diseases such as pityriasis versicolor, seborrheic eczema. In addition, their occurrence is probable and the disease, which absolutely "another story" - hypertension, pulmonary and cardiac insufficiency, diabetes. Nail psoriasis or may also develop on the basis of a stress, chronic fatigue, emotional turmoil, who are receiving beta-blocking drugs and other medications.

Of course, an accurate diagnosis is the prerogative of the specialist. Very often the presence of one only the external signs. this requires a differential diagnosis with the use of additional methods of research. For example, bacterial analysis (screening) of the scale of the affected areas, direct microscopy.

All of this begs the obvious conclusion: when the first suspicions of psoriasis of the nails of fingers or toes, you need immediate access to a trained specialist! Read more about whose responsibilities include treatment of psoriasis on the hands or feet – just below.

Causes for psoriasis of the nails

In medical circles the psoriasis is one of the most mysterious and not fully understood ailments. However, experts agree that the main reasons for this are disease, two:

  • Pathological changes in the immune processes that prevent proper cell division and the normal fermentation of the substance. For this reason there is an error in the development of the epidermis: a poorly developed, separated, begin to grow and multiply, which causes a thickening of the nail surface. Body is the response to this pathology is usually characterized by inflammation;
  • The genetic factor. Some dermatologists is inclined to put in the first place. Intrigue of the disease lies in the fact that "bad" heredity can be a long time to make itself felt, and under the influence of precipitating factors can occur unexpectedly, which contributes to the transformation of the indolent phase of disease in acute.

The most powerful instigators of psoriasis are:

  • Hormonal disorders;
  • Errors in the work of the authorities, which have a direct impact on the metabolism (liver, thyroid gland, digestive tract and others);
  • Deplete the immune system infectious education;
  • Mechanical damage to the layers of the dermis;
  • Dry and frosty conditions in combination with weakened immunity.

The stage of the disease

In the General case of anomalous symptoms, later developing into psoriasis go through three main phases:

  • The first of them is characterized by the clouding of the nail, it seems, transversal or longitudinal strips, grooves, spots;
  • In the second stage, the nail thickens, changes color, buying yellowish, gray, brown. Sometimes this is accompanied by hemorrhagic manifestations, with the appearance of bloody streaks, and purulent damage;
  • In the last stage of the album, which arise, greasy stains and plaque. Nail Polish completely atrophies and begins to flake off. Often these negative manifestations of the combination of different bacterial and fungal infections.

How to treat nail psoriasis?

The treatment of nail psoriasis is a long and painstaking process with the use of complex mechanisms. The doctor lifts the chart of systemic therapy, taking into account the individual characteristics of the specific clinical case.

What influences the choice of treatment plan?

treatment of psoriasis

The main determinants of how to treat psoriasis of the nails in the hands and feet:

  • The clinical picture of the disease and the rate of its flow.
  • The degree of neglect of the disease;
  • Likelihood of recurrence;
  • The presence of concomitant diseases and related restrictions;
  • Individual tolerance of the patient to certain medications.


As a rule, in the early stages of the disease apply local medications.

Creams and ointments

Especially medicines that contain corticosteroids, which includes tools, which have anti-inflammatory and antiseptic effect, as well as cream. Wide use, it was found also special polishes from nail psoriasis. By the way, some dermatologists even thought that is a successful alternative for comprehensive treatment.

The use of corticosteroids between the risk of nail psoriasis prohibited in the viral skin diseases, for example, in shingles, and in syphilis, tuberculosis. In addition, their weakness are possible side-effects such as itching, burning and redness of the skin.

Medicines containing vitamin D3

Their function consists in the inhibition of abnormal division of the psoriatic cells. Even here there are contraindications, for example, disruption of calcium in the body. In addition, it is not recommended for children. As an analogue of possible use of the coal tar (tar).

Special preparation

Pencils, ointments, and other medications are United by the common ability to inhibit cell proliferation and lead to permanent weakening of the nail psoriasis.

Foreign substances,

A variety of anti-inflammatory and inhibiting the division of a defective cell properties .

In addition, the management of the impact of the dead cells is salicylic acid, allows their easy removal, and 1% of a solution of 5-fluorouracil (either in the form of creams) is applied under the bandage.

We believe that it is necessary to emphasize once again that all these medicines have numerous negative effects, so use them only if a medical agreement is strictly individual! Self-medication with these drugs can cause irreparable damage to health, and is strictly prohibited!

Medicines used in the systemic treatment of

The same is true for the systemic retinoids, called only in the most severe cases and is absolutely contraindicated for pregnant women and for liver diseases.

Comprehensive treatment also requires taking anti-depressants, which reduce the itching and have a positive psychological impact, as well as complexes of vitamins and minerals consisting of selenium, zinc, calcium.

Good effect gives physiotherapy – hemosorption, light therapy, diathermy, photochemotherapy. A very effective sanitary-resort treatment, especially if done on the coast.

The use of new biological products

Recent events attention to the monoclonal antibodies, which can be combined with cells of the immune system and destroy defective cells psoriatic, modifiers with selective effect and blockers necrosis factors, which are used in the most severe forms. For some of them clinical trials are still ongoing.

With the use of traditional methods

The best result of the treatment of nail psoriasis folk remedies gives when disease is just starting to develop. Home doctors have long treated patients with psoriasis with all types of baths, ointments, lotions, compresses. Here are some of the popular recipes for the treatment of nail psoriasis at home:

  • Oatmeal and cornstarch in the amount of two tablespoons, mix in a half liter of warm water and prepared to impose a lotion to the affected areas;
  • A calming effect of the bath on the basis of infusions of oak bark, succession, chamomile, sage, cocklebur;
  • Time-tested therapy with herbal oil before going to sleep must be lubricated with studs, olive, sunflower, maize (corn) oil;
  • Excellent wound-healing effect are aloe and sea buckthorn and agave will help to moisturize the affected area and reduce inflammation;
  • Useful, gauze, bandages, from the onion pulp applied to the diseased nail.

Treatment of psoriasis of nails at home includes a lot of different ways, with the use of copper sulphate, soda ash, however, in all cases without consulting with a doctor can not do!

Preventive measures

To combat the insidious and difficult-to-treat diseases, always follow security measures, in particular:

  • Carefully observe hygiene of hands and feet;
  • To protect hands and feet from direct contact with the chemicals;
  • To prevent hypothermia and infection, to take care of your immune system;
  • For the protection of the nail plate from mechanical damage;
  • Note that caution in the use of the manicure is performed by not using man-made materials for nail and therapeutic use of antibacterial varnishes;
  • Please be especially careful during exacerbations of the disease, paying attention, including, on a diet - with the exception from the diet of fatty, starchy, sugary foods. Menu should prevail fresh fruits and vegetables, fish, dairy products, liver.

Don't forget! The worst enemies of the therapy are alcohol and tobacco!

Irrevocable psoriasis does not disappear. Even when it seems that his symptoms are no longer present, the risk for recurrence of the disease permanently. Unfortunately, we say: psoriasis is a disease that must be tolerated for life. The other thing is that adhering to a healthy lifestyle and following medical instructions, but there is a great chance to increase the duration of the period up to decades!