Psoriasis is a chronic autoimmune skin condition affecting various body parts, including the nails. Nail psoriasis is a specific manifestation of psoriasis that affects the nails, causing changes in their appearance and sometimes leading to discomfort. This article will explore the symptoms, causes, and management options for nail psoriasis. Understanding this condition can help individuals recognize its signs, seek appropriate treatment, and effectively manage the impact on their quality of life.

What is nail psoriasis?

Skin cells typically multiply every 28-30 days. Reliable Source. Psoriasis patients have an overactive immune system, causing these cells to reproduce every 3-4 days. As a result, some areas of exposed skin are thick, inflammatory, and itchy.

Nails are a component of the skin. They grow from the nail root right beneath the cuticle, where they are affected by psoriasis. Psoriasis of the nails is a persistent immune system disorder. It is an autoimmune disorder, meaning the immune system mistakenly assaults healthy nail tissue.

Nail Psoriasis: An Overview:

Nail psoriasis occurs when psoriasis affects the nails, causing texture, color, shape, and overall appearance changes. Approximately 50% of individuals with psoriasis are estimated to experience nail involvement. Nail psoriasis can occur alongside other symptoms, such as plaques on the skin or scalp, or it may be the only manifestation of the condition.

Symptoms of Nail Psoriasis:

  • Nail psoriasis can present with various symptoms, which may differ from person to person. Common signs and symptoms include:
  • Pitting: Small depressions or pits may develop on the surface of the nails. These pits are typically shallow and may vary in number and size.
  • Discoloration: The nails may become yellow, brown, or white or have small red spots. The color changes are due to the underlying inflammation and can affect the entire nail or specific areas.
  • Nail Thickening: Nails affected by psoriasis may thicken and become brittle. This can lead to crumbling or splitting of the nails, making them more prone to breakage.
  • Nail Lifting: Psoriasis can cause separation of the nail from its bed, resulting in a condition called onycholysis. This can lead to pain, discomfort, and an increased risk of secondary fungal or bacterial infections.
  • Nail Deformation: The shape of the nails may change, with irregularities such as ridges, grooves, or a “pitted” appearance. The nails may become deformed or lose their normal contour in severe cases.

Read Also: MCH Blood Test: Insights into Red Blood Cell Health

Causes and Triggers:

  • Nail psoriasis, like other forms of psoriasis, is an autoimmune condition. It occurs when the immune system mistakenly targets healthy cells, leading to an inflammatory response. The exact cause of psoriasis is still not fully understood. Still, it is believed to involve a combination of genetic and environmental factors. Certain triggers can exacerbate nail psoriasis symptoms, including:
  • Trauma: Injuries or trauma to the nails, such as nail biting or repetitive manicures, can trigger or worsen nail psoriasis.
  • Infections: Bacterial or fungal infections in the nails can lead to psoriasis flare-ups.
  • Environmental Factors: Exposure to cold weather, dry air, or excessive moisture can impact the severity of nail psoriasis symptoms.
  • Stress: Emotional stress and anxiety have been linked to worsening psoriasis symptoms, including nail involvement.

Diagnosis and Treatment Options:

  • Diagnosing nail psoriasis typically involves thoroughly examining the nails and reviewing the individual’s medical history. Sometimes, a nail biopsy or other tests may be conducted to rule out other conditions.

Treatment options for nail psoriasis aim to alleviate symptoms, improve nail appearance, and manage the underlying inflammation. Some common treatment approaches include:

  • Topical Treatments: Corticosteroid creams or ointments may be applied directly to the nails to reduce inflammation and improve symptoms. Other topical treatments, such as vitamin D analogs or retinoids, may also be prescribed.
  • Intralesional Injections: In severe cases, medications can be injected directly into the affected nail bed to target inflammation and promote healing.
  • Oral or Systemic Medications: In cases of moderate to severe nail psoriasis, oral medications or systemic treatments, such as immunosuppressants or biologic agents, may be prescribed. These medications work by targeting the underlying immune response.
  • Phototherapy: Light therapy, specifically targeted at the nails, may be used to improve nail psoriasis symptoms. Ultraviolet (UV) light, either in the form of natural sunlight or artificial UV lamps, can help reduce inflammation and promote healing.

Self-Care and Management Strategies:

  • In addition to medical treatments, individuals with nail psoriasis can implement self-care strategies to manage the condition and minimize symptoms. Here are some tips:
  • Nail Care: Practice proper nail hygiene, such as keeping nails trimmed, filing them gently, and avoiding trauma or injury. Applying moisturizers to the nails and cuticles can help prevent dryness and maintain health.
  • Protection: Wear gloves while performing tasks that may damage or expose the nails to harsh chemicals or water.
  • Avoid Triggers: Identify and avoid triggers that worsen nail psoriasis symptoms, such as stress, certain medications, or environmental factors.
  • Stress Management: Implement stress-reduction techniques, such as mindfulness, meditation, or exercise, to help manage stress levels and potentially reduce psoriasis flare-ups.
  • Support: Seek support from healthcare professionals, support groups, or counseling to address the emotional impact of nail psoriasis and cope with its challenges.


Nail psoriasis is a specific manifestation of psoriasis that affects the nails, causing changes in their appearance and sometimes leading to discomfort. Recognizing the symptoms of nail psoriasis and understanding its causes and triggers can help individuals seek appropriate treatment and manage the condition effectively. Consulting with a healthcare professional is essential for an accurate diagnosis and personalized treatment plan. Individuals with nail psoriasis can effectively manage their symptoms and improve their overall quality of life with the right combination of medical interventions, self-care strategies, and support.

Frequently asked questions:

The following are some frequently asked questions about nail psoriasis.

Can I hide nail psoriasis?

If a person wants to conceal the symptoms of nail psoriasis, they should consult their dermatologist about the best choices. Using nail paint or getting a professional manicure can sometimes assist, but do not touch the cuticles and inform your nail technician about your issue. Several varieties of nail polish and paint remover for persons with sensitive skin do not include the harsh chemicals that standard products do.

Does nail psoriasis spread?

Nail psoriasis, unlike a fungal infection, does not spread by contact. Nail psoriasis may worsen if not treated. Because of the discomfort caused by nail damage, it may become difficult for a person to use their hands or feet in difficult situations. It can cause joint problems if left untreated.

Is there a cure for nail psoriasis?

There is no remedy for nail psoriasis at the moment. Many therapeutic choices, however, may make the disease more bearable. Even if a person has severe nail psoriasis, various techniques exist to avoid or control flare-ups. It may take up to a year for symptoms to subside.