Psoriasis nails

Nail psoriasis belongs to one type of disease, which mainly affects the skin. Like other types of pathology, this form has chronic non-recurrent chronic diseases. The main signs of damage to the nail plate by psoriasis are its deformation, loss of gloss, the appearance of spots on the plate, as well as complete nail removal.

With this shape, the skin around the plate also suffers. Timely and improper treatment can lead to complications such as severe deformities and loss of nails on the hands and feet.

psoriasis nails

The treatment of fingernail psoriasis is similar to other treatments, but has its own characteristics. In this article, we will consider the symptoms, causes, and even how to treat toenail and toenail psoriasis.

Nail damage in psoriasis can occur under the influence of various causes. Often this form is found against the background of pathological forms such as psoriatic arthritis.

In medical practice, this type is referred to as nail psoriasis or psoriatic oncocyte dystrophy. It is quite rare, but it often occurs with complications and many unwanted symptoms.

The following provoking factors can be attributed to the underlying cause of the pathology:

  • stress and frequent emotional stress;
  • incorrect body metabolic processes;
  • chronic infectious diseases;
  • poor circulation;
  • damage to nails and exposure to certain chemicals;
  • genetic predisposition.

Important! In some patients, nail psoriasis occurs against the background of damage to the nail by a bacterial infection. It is quite difficult to diagnose the disease in such cases; an experienced specialist should identify the disease.


Psoriasis under the nails can develop in patients of various ages, but in most cases, it occurs in patients older than 35-40 years. There are several forms of this disease. These include:

Thimble Syndrome

This type is characterized by plate defeat in the form of point indentations. Often they are localized in a specific area of ​​the nail, but there are often cases when the groove extends to the entire nail. Externally, the plate is similar to a thimble, which is why this type is often called a "thimble".


This shape has symptoms such as blurring of the nails, loss of color. This is due to the lack of healthy blood circulation. During the development of the disease, the plate is distorted and lost. Only a small portion of the plate remains at the base.

Start of bleeding

bleeding with psoriasis

Indicates the formation of red or pink spots under the nails. These symptoms occur at the beginning of the pathology. Further, signs such as bruising under the plate may occur. There are also nail seals, layers.

Psoriasis of nails or fungi how to distinguish them?

Often, patients are interested in distinguishing nail fungus from psoriasis. This problem is quite complicated and requires consultation with an expert. Laboratory tests are also required. Methods such as dermis sample biopsies, as well as histological studies, help exclude fungi.

Differential diagnosis can be used to exclude diseases that also affect the nails. These include the following diseases:

  • lichen planus;
  • various forms of dermatosis;
  • eczema.

The main indicator of psoriasis is also the absence of abnormalities in the composition of the blood. Increased leukocyte levels, as well as erythrocyte sedimentation reactions, in most cases indicate the presence of an infectious pathological form.

Important! The difference between nail fungus and nail psoriasis can be detected only with the help of laboratory tests. Externally, the pathology is almost the same.

The main manifestation of this disease

how the disease manifests

Nail psoriasis, like toenail psoriasis, has many very unpleasant symptoms. Below you can see a picture that shows what psoriasis is on the feet and nails. Therefore, let us consider the manifestations of this disease, depending on its form.

Acne type psoriasis has the following symptoms:

  • groove appearance, depression in the form of dots;
  • blurs the plate;
  • externally, the plate is bent and hook-shaped;
  • while pressing, pain is observed.


  • change the color of the plate;
  • nail distortion, integrity violation;
  • release the plate from the body of the finger.


  • the appearance of red, brown and cyanotic spots under the nails;
  • plate shape malformations, turbid;
  • capillary damage;
  • may have purulent discharge when pressed.

Symptoms may vary slightly depending on the severity of the disease and the individual patient.

How to treat nail psoriasis

The question of how to treat nail psoriasis is quite relevant today? In modern medical practice, there are many ways to treat this disease. The main ones include:

  1. uses external products.
  2. Taking medication by mouth.
  3. Use of phototherapy and other physical treatments.
  4. Use of traditional medicine.

Next, we suggest considering each method in more detail.

Treatment of nail psoriasis with creams and ointments

psoriasis treatment

Nail psoriasis and medical treatment initially involve the use of topical agents.

Ointments can be hormonal or non-hormonal. The first is used for severe forms of the disease, if non-hormonal drugs are ineffective.

Ointment for nail psoriasis on the hands and feet can also be non-hormonal. These are drugs that include zinc, salicylic acid, etc.

Non-hormonal drugs have minimal side effects, are not addictive, but the effects should wait a long time. Hormone drugs have a quick effect, but can cause many complications.

Use of oral medication

Disease therapy should be comprehensive. The following medications can also be used to relieve symptoms and restore nails:

  1. Sedative.
  2. Immunomodulator. Medications help increase one's natural defenses.
  3. Anti-allergy medicine.


physiotherapy for psoriasis

Recently, the use of physiotherapy methods has proven itself well. Ultraviolet treatment, as well as the use of methods such as cryotherapy, azone therapy, treatment with excimer laser, give excellent results. The following types of physical treatment are most commonly used in medical practice:

  • UV irradiation;
  • PUVA therapy;
  • X-ray therapy;
  • use of ultrasound;
  • laser treatment.

Important! The duration of the session and the amount should be determined by an experienced specialist. Taking medication yourself using this method is strictly prohibited, as it often causes many side effects.

The Role of Traditional Medicine

Treatment with folk remedies for nail psoriasis has long been used as a complete type of therapy. So, how to cure nail psoriasis at home, we will find out below. There are many recipes to help overcome pathological symptoms. The most popular drugs include:

Boil Celandine

decoction of celandine for psoriasis

500 ml of water requires 2 tbsp. l. herbs. Boil the agent on low heat, cook for 30-40 minutes. The broth is used for bathing, dissolved in water in a ratio of 1: 2 and the nails are soaked in it for 20-25 minutes.

Treatment of psoriasis on nails with natural oils

Sea buckthorn oil relieves inflammation very well. It softens the affected area, enriching the nails with useful vitamins and minerals. To do this, using a cotton swab, oil is applied to the plate and left for 30-40 minutes. The procedure is repeated 2-3 times a day.

Attention! If you decide to treat your own psoriasis, see a doctor beforehand, self-medication can endanger your health!

Using a bow

Fresh onions are passed through a meat grinder, the resulting gruel is applied to the affected nails. I cover with a gauze bandage and leave for 30 minutes. The course of treatment lasts until healthy nails grow back. Nail psoriasis is referred to as a serious chronic disease. It is very important to diagnose the disease in a timely manner and begin the necessary treatment. This will help maintain the health of the feet and hands and avoid unpleasant complications.