Nail Changes Psoriasis, Psoriatic Arthritis

Nail changes occur in up to 50 percent of people with psoriasis and at least 80 percent of people with psoriatic arthritis.

The nail conditions most commonly experienced by psoriasis patients are:
Pitting: shallow or deep holes in the nail
Deformation: alterations in the normal shape of the nail
Thickening of the nail
Onycholysis: separation of the nail from the nail bed
Discoloration: unusual nail coloration, such as yellow-brown

Steroid creams – ointments are a key component for the management of psoriasis. However, ongoing use of steroid creams/ointments diminish the skin’s ability to defend against bacterial or fungal infection because steroid creams diminish antimicrobial peptides which makes the skin vulnerable to nail conditions such as onychomycosis and paronychia.

Onychomycosis is a fungal infection that causes thickening of the nails.
Paronychia (par’o·nych’i·al) is an infection of the soft tissue structures surrounding the finger or toe nail. Bacterial paronychia is caused by bacteria. Candidal paronychia is caused by a specific type of yeast. Fungal paronychia is caused by a fungus.

Treatment for Psoriasis Nail Conditions
In addition to topical treatments and phototherapy, other treatments for nail psoriasis include corticosteroid injections into each affected nail; cosmetic repair including nail scraping and filing, nail polish, artificial nails and surgical removal.

Psoriasis Nail Care
Keep the nails trimmed back with manicure scissors to the point of firm attachments. Keep nails as short as possible because loose nails continue to be injured as they rub against surfaces. It is important to protect nails from damage because trauma will often trigger or worsen nail psoriasis.

Maallo for vulnerable and troubled skin

Maallo for vulnerable and troubled skin

Maállo is a medicinal cream that modifies dermal inflammatory cell activity, supports the structure and function of the skin, lessen susceptibility to psoriasis nail conditions and reduces dependency on topical corticosteroids. To learn more about Maállo Cream click here.

Topical steroid creams – ointments are not a cure and do not affect the underlying cause of the skin condition.

DISCLAIMER: Kátha Soma does not provide medical advice, diagnosis or treatment. The information provided is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.