Psoriatic nails are a common symptom of psoriasis, a chronic autoimmune skin condition that affects the nails, skin, and joints. Psoriatic nails can cause a variety of changes to the nails, including pitting, ridging, thickening, discolouration, and separation of the nail from the nail bed.
The severity of psoriatic nail involvement can vary from person to person, and in some cases, it can lead to functional impairment and pain. Psoriatic nail changes can also be a sign of more severe psoriasis and may indicate an increased risk of joint involvement.
Treatment of psoriatic nails may include topical and/or oral medications, depending on the severity of the symptoms. Topical corticosteroids, vitamin D analogues, and retinoids may be used to treat mild to moderate cases of psoriatic nails. In more severe cases, systemic medications such as methotrexate, cyclosporine, or biologics may be necessary.
It is important for people with psoriatic nails to take good care of their nails and to see a dermatologist or podiatrist regularly for treatment and monitoring. This may include keeping the nails clean and dry, avoiding trauma to the nails, and wearing protective gloves when working with chemicals or doing other activities that could damage the nails.
Overall, psoriatic nails can be a chronic condition that requires ongoing treatment and management to control symptoms and prevent complications. Working with a healthcare provider can help develop an individualised treatment plan that meets the specific needs of the patient.