Conditions/Nail

Nail Changes Associated with Psoriasis

Psoriasis can affect the nails as well as the skin, causing small pits on the nail surface, discolouration, thickening, crumbling, or separation of the nail from the nail bed. These changes may affect fingernails, toenails, or both and can sometimes occur even when skin lesions are not prominent.

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Quick Answer

Assessment includes examining the nails and checking for other signs of psoriasis. Nail clippings or laboratory testing may be recommended if a fungal infection is suspected. Treatment depends on the type and extent of nail involvement and may include prescription topical medications, injections into affected areas, or systemic treatment when nail disease is extensive or associated with significant psoriasis elsewhere.

Improvement is gradual, and regular follow-up helps assess response.

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FAQ

What are nail changes associated with psoriasis?
Psoriasis can affect the nails as well as the skin, causing small pits on the nail surface, discolouration, thickening, crumbling, or separation of the nail from the nail bed. These changes may affect fingernails, toenails, or both and can sometimes occur even when skin lesions are not prominent.
How are nail changes associated with psoriasis evaluated?
Assessment includes examining the nails and checking for other signs of psoriasis. Nail clippings or laboratory testing may be recommended if a fungal infection is suspected. Treatment depends on the type and extent of nail involvement and may include prescription topical medications, injections into affected areas, or systemic treatment when nail disease is extensive or associated with significant psoriasis elsewhere.
How are nail changes associated with psoriasis treated?
Nail clippings or laboratory testing may be recommended if a fungal infection is suspected. Treatment depends on the type and extent of nail involvement and may include prescription topical medications, injections into affected areas, or systemic treatment when nail disease is extensive or associated with significant psoriasis elsewhere. Improvement is gradual, and regular follow-up helps assess response.