The tiny dents had been developing over three years—and doctors diagnosed him with psoriasis. This is what psoriasis looks like—on your nails. Most people familiar with the chronic skin condition know that psoriasis causes trademark red, itchy, scaly buildups called plaques. In the report, Juan A.
Healthy Lifestyle Fingernails: Possible problems. Products and services. Slide show: 7 fingernail problems not to ignore. Previous Next 1 of 7 Nail pitting Did you know that your fingernails can provide clues to your overall health? Thank you for Subscribing Our Housecall e-newsletter will keep you up-to-date on the latest health information. Please try again. Something went wrong on our side, please try again.
Show references Habif TP. Your treatment plan may include one or more of the following. Treatment you apply to the nails: This can be helpful for mild or early nail psoriasis. Because nail psoriasis can be stubborn, you may need to use more than one treatment. Sometimes, two medicines are combined to give you a faster response. A potent or very potent corticosteroid: This can be helpful for most signs and symptoms of nail psoriasis. Calcipotriol: In one study, researchers found this to be as effective as a potent corticosteroid at treating the buildup beneath the nail.
Tazarotene: This treatment can be especially helpful for treating pitting, a separating nail, and discoloration. If you need stronger treatment, your dermatologist may recommend treatment given in a dermatologist office or clinic. This treatment may include one of the following. Injections of corticosteroids or another psoriasis medicine : This involves getting injections directly into or near your nails with psoriasis.
If the first treatment shows poor results, you may get another one in a few months. Corticosteroid injections can be effective for treating buildup under the nail, nail ridges, nail thickening, and nails separating from fingers or toes. PUVA: This involves first soaking in or taking a medicine called psoralen. Afterwards, you are carefully exposed to UVA rays. PUVA can be effective for treating discolored nails and nails that are separating from fingers or toes.
It does little to treat nail pitting. Treatment that works throughout the body: If you have severe psoriasis and nail psoriasis, your dermatologist may prescribe medicine that can treat both your skin and nails.
In people who had severe, longer lasting cases of psoriasis, nail pitting was found Learn more: Nail psoriasis ». At your appointment, your doctor will assess your medical history and perform a physical exam. Be sure to share any symptoms you may be experiencing with your doctor, as this can help guide them to a diagnosis of nail psoriasis or another condition.
They may also perform a skin biopsy. This test is done by taking a small sample of your skin or nails and looking at it under a microscope. Treating nail pitting can be difficult.
The pits are formed as your nail forms. Topical medications are unable to easily reach through the nail bed. Because of this, your doctor may consider corticosteroid injections into your nail beds.
This type of treatment has varied results. Another option is to use phototherapy or light therapy on the affected nails.
Some doctors may recommend taking vitamin D3 supplements. Immunosuppressant medications, such as cyclosporine Neoral and methotrexate Trexall , are also options.
These medications are potentially toxic to your organs, so the risks may outweigh the benefits. You may want to cosmetically repair already pitted nails by scraping, filing, or polishing. In rare cases, you may opt to have them removed through surgery so that the nail tissue can regrow. Shop for vitamin D3 supplements online.
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