Psoriatic Nails

Nail Psoriasis occurs in about 10 percent of persons with active psoriasis. This finger nail psoriasis and toe nail Psoriasis range from mild to quite severe. Nail Psoriasis involves the nail plate, nail matrix (tissue from which the nail grows), nail bed (tissue under the nail), and skin at the base of the nail. Damage to the nail bed by the pustular psoriasis may result in loss of the nail.

Nail Psoriasis causes the following conditions to occur:

• The nail plate is pitted, probably due to erratic nail growth caused by psoriasis.
• The nail has a yellow to yellow-pink discoloration, most likely due to psoriatic involvement of the nail bed.
• White areas appear under the nail plate. These are air bubbles marking spots where the nail plate is becoming detached from the nail bed (onycholysis). There may be reddened skin around the nail.
• The nail plate crumbles in yellowish patches, probably due to psoriatic involvement under the nail.
• The nail is entirely lost due to psoriatic involvement under the nail.

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