Nail psoriasis

As you know, psoriasis is a chronic non-infectious disease that primarily affects the skin. And the main measures of treatment of the disease are usually aimed specifically at combating skin rashes. However, in addition to skin involvement, psoriasis of the nails is also possible and is often mistaken for a fungal infection, especially in cases where nail involvement is the only manifestation and the skin is not affected. In addition, the disease is often observed together with the fungus and can be provoked by it. But nail psoriasis is a separate disease that requires a separate special treatment, since it cannot be cured with antifungal drugs.

Symptoms of Nail Psoriasis

The external manifestations of psoriasis of the nails can be very diverse, which makes it very difficult to make a diagnosis, especially in cases where there are no other external manifestations:

  1. Spot lesions of the nails in psoriasis. One or more depressions appear on the nail, which can either be grouped in one place or spread to the entire nail plate. When the entire nail is affected, its plate begins to resemble a thimble, hence another name for this type of disease — “thimble psoriasis”.
  2. Clouding of the nail plate. At the same time, longitudinal and transverse grooves appear on it.
  3. Toenails are most often covered with grooves. At the same time, they thicken, acquire a yellowish cloudy hue, and sometimes begin to fester. A similar lesion is possible on the hands, but much less frequently. Since such symptoms are also extremely characteristic of a fungal infection, psoriasis of the toenails is most often confused with a fungus and trying to use appropriate treatments that are ineffective.
  4. Peeling of the nail or onycholysis. Usually observed in the later stages of the disease, if no measures have been taken to treat it. The nail plate loses its luster, becomes thinner, exfoliates from the skin over time. With the progression of the disease, the nail may completely disappear, remaining only in the form of a narrow strip located near the hole.

How to treat nail psoriasis?

The treatment of this disease is a long and laborious process that takes more than one month.

Since nail psoriasis is a chronic disease, proper nail care and hygiene plays an important role in its treatment:

  1. Nails should be cut short.
  2. Any work with detergents, cleaners and other chemicals should be carried out only with gloves.
  3. It is necessary to avoid any microtrauma in the affected area. So, in the treatment of psoriasis of the nails of the fingers, manicure is contraindicated, but it is possible to use a transparent protective varnish.
  4. Use oily hand creams regularly.
  5. Make baths with the addition of medicinal herbs (St. John’s wort, celandine, nettle, chamomile).
  6. Lubricate the skin around the nail with retinol.

Preparations for the treatment of nail psoriasis

In the initial stages of the disease, local preparations are used to treat psoriasis, such as:

  • Calcipotriol;
  • Betamethasone;
  • Anthralin;
  • Tazarotene;
  • tar;
  • immunomodulatory agents, for example, Tyrolon.

In addition, a complex of vitamins and minerals is taken orally, primarily vitamins A and D. The effectiveness of treatment increases if, together with drugs, Nail psoriasis treatment drugsphysiotherapy, such as ultraviolet radiation.

If the use of external agents does not give the desired effect, then proceed to taking drugs inside. Most often used:

  • Cyclosporine;
  • Methotrexate;
  • Acitretin.

If psoriasis of the nails occurs along with the fungus, topical application of antifungal ointments or nail polishes is possible.



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