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Nail psoriasis (in the nails): what is it, symptoms and treatment

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Psoriasis in the nails, also called nail psoriasis, occurs when the body’s defense cells attack the nails, generating signs such as wavy, deformed, brittle, thick and with white or brown spots.

If you do not have a cure, the appearance of your nails can improve by carrying out the treatment indicated by the dermatologist, which may include the use of nail polishes and ointments containing substances that contain clobetasol and vitamin D. If psoriasis affects other areas of the body, if may indicate medications such as corticosteroids, methotrexate, cyclosporine or infliximab.

In addition, some treatments can be performed at home, such as cleaning the nails, taking care of the hydration of the nails and maintaining a diet rich in omega 3, linaza, salmon and tuna.



Main signs and symptoms

Nail psoriasis can appear at the same time as psoriasis lesions on the skin, reaching one or several nails. Some signs of psoriasis in the nails are:

  • Ripples in the nails;
  • Nails with deformities;
  • Brittle and peeling nails;
  • White or brown spots;
  • Increase in nail thickness;
  • Detachment of the nails;
  • Bleeded.

The signs of nail psoriasis can be similar to infections caused by fungi, such as mycosis, therefore, as soon as changes appear in the nails, you should go to a dermatologist to confirm the cause and start the most appropriate treatment.

treatment options

The type of treatment for nail psoriasis depends on the number of affected nails, on the general state of health, on the severity of the symptoms, and should always be indicated by a dermatologist. Some forms of treatment that can be recommended are:

1. Enamels

Nail psoriasis leaves the nails rough and smooth, so some nail polishes can help with the treatment, improving the appearance of the nails, making them smoother and more resistant. In addition, some types of enamel can be used with products such as vitamin D and clobetasol, which help in the reconstruction of the nail.



However, it is important to consult a doctor before applying nail polish to nails affected by psoriasis, as not all nail polishes bring benefits.

2. ointments

In more mild cases of nail psoriasis, some types of ointments may be indicated that contain substances such as vitamin A, vitamin D, corticosteroids and immunosuppressants. These ointments must be indicated by the dermatologist and actúan reducing the inflammation and helping in the restoration of the nail format.

In some situations, when injuries to the nail are major and reach other areas of the body, such as, for example, the palms of the hands, these ointments are used in combination with some type of medication.

3. Medicines

When psoriasis reaches other areas of the body or when local treatment with nail polishes or ointments does not show results, medications such as methotrexate, tacrolimus, cyclosporine, retinoids and corticosteroids are usually indicated. In general, these medications reduce the action of the body’s defense cells that are attacking the body, relieving the symptoms.

In some cases, new medicines may be indicated, called biological medicines, which act specifically on the cells that cause the illness. Some of these drugs are infliximab, etanercept and adalimumab, known as Humira.

In more advanced cases of psoriasis in the nails, the doctor may recommend corticosteroid injections, which are applied after an on-site anesthesia. In addition, the person with psoriasis must take a follow-up with a rheumatologist, to indicate the daily dose and the duration of the treatment with the medicines.

4. Natural treatment

Some care can be performed at home to help with the treatment of nail psoriasis, such as keeping the nails clean and short. For cleaning nails it is necessary to use neutral and antibacterial soaps, in addition to avoiding the use of hard sponges or brushes with heavy bristles, as this can cause bleeding in the injured nails.

It is recommended to use scissors instead of scissors, reducing the risk of injuring more nails. In addition, it is necessary to keep the nails hydrated with the appropriate products indicated by the doctor, as this prevents the nails with psoriasis from incarnating.

5. Food

To control the symptoms of nail psoriasis, you should avoid foods that increase inflammation, such as red meats, sausages and canned foods, such as sausages, chorizo, bacon and foods rich in peppers and artificial preservatives.

In addition, it is important to increase the intake of fruits, vegetables and products rich in omega-3, such as linaza, salmon, tuna, nuts and other nuts. See how the diet should be for psoriasis.

6. Alternative treatment

An alternative treatment for psoriasis is the bath in aquariums with the grubby foot, also called the doctor foot, which feeds on the injured skin of psoriasis, which stimulates the growth of a new layer of healthy skin.

This treatment is carried out in specialized clinics that create this type of foot and each session lasts approximately 30 minutes. The frequency and the number of sessions depend on the severity of the illness, and can be carried out daily or once a week.

What to do to not aggravate the heridas

In order not to aggravate the wounds, it is necessary to avoid the use of chemical products in the hands, soaps, detergents, creams or perfumes that are not indicated by the doctor. An alternative is to use thin cotton gloves during manual work, but the gum gloves can irritate the skin, being careful that the gloves are clean and are used for a short time.

In case of calluses or corners of nails, you should seek the help of a dermatologist or a podiatrist, to properly treat and avoid the aggravation of the heridases. It is recommended not to use artificial nails, use chemical products to catch them, they can damage and irritate more nails with psoriasis. In addition, it is important not to remove the cuticles, as this can cause infections and worsen injuries.

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Consult a Doctor | Translated by User2937

Content for educational purposes only

The translator user relied on the following text:

Tua Saude Website – REF93782 – Verified

Disclaimer – (English version>) This content has been prepared based on information from research, additional publications, or the translation/verification work of a volunteer editor of this web council. This is a non-profit service. It is strongly recommended that all details and information published be carefully verified. We never allow medication recommendations, medication package inserts or any medication guidance. We never allow partisan politics as information.

Isenção de responsabilidade – (versão em português): Este conteúdo foi preparado com base em informações de pesquisas, publicações adicionais ou no trabalho de tradução/verificação de um editor voluntário deste conselho web. Este é um serviço sem fins lucrativos. É altamente recomendável que todos os detalhes e informações publicadas sejam verificadas cuidadosamente. Nunca permitimos recomendações de medicamentos, bulas ou qualquer orientação sobre medicamentos. Nunca permitimos a política partidária como base para checagem. Para mais informações, leia nossos termos.

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