Advertisement

How can psoriasis affect your nails?

Dr. Michael Roizen, MD
Internal Medicine

Patients with psoriasis (a condition that affects the skin and can also affect internal organs) often develop problems with their nails. Psoriatic nails look like fungal infections, so your doctor will take a snip (a biopsy) to be sure. Generally, psoriatic nails look flakier and are softer than those with fungal infections, like shingles coming off your roof with pinpoint bleeding. Even a biopsy isn't perfect; under the microscope, psoriasis is misdiagnosed as fungus one-third of the time - another reason to get a second opinion on everything. Unfortunately, treatment of psoriatic nails can be as tough as, er, nails. Sometimes the nail has to be removed, but doctors will also try light therapy, or topical, oral, and even injected steroids. New drugs like Remicade may help both nail and skin problems from psoriasis.

You: Being Beautiful - The Owner's Manual to Inner and Outer Beauty

More About this Book

You: Being Beautiful - The Owner's Manual to Inner and Outer Beauty

Most people think that beauty revolves around such things as lipstick, sweet eyes, or skinny jeans -- all those things that we can see (and obsess over) in the mirror. But the fact is that beauty...
Dr. Mehmet Oz, MD
Cardiology (Cardiovascular Disease)
Nail psoriasis ranges widely in severity and can cause several visible changes to your nails. Pitting of the nails is common, as is a yellowish-pink cast to the nails, and reddening of the skin around the nail. White areas sometimes appear under the nail when tiny pockets of air are trapped between the nail and the tissue beneath the nail. In severe cases, the nails may crumble in patches or fall off entirely. At other times, nail psoriasis looks much like other nail infections, particularly a fungal nail infection.

Continue Learning about Plaque Psoriasis

A Virtual Journey: What Causes Psoriasis?
A Virtual Journey: What Causes Psoriasis?
Join Sanjay Gupta, MD, on a virtual journey to the human skin as he explores the causes of psoriasis, an inflammatory autoimmune disorder that affects...
Read More
What is secukinumab?
Donna Hill Howes, RNDonna Hill Howes, RN
Secukinumab (Cosentyx) blocks certain immune system proteins (IL-17A) that cause inflammation in peo...
More Answers
Foods That Could Make Your Psoriasis Worse
Foods That Could Make Your Psoriasis WorseFoods That Could Make Your Psoriasis WorseFoods That Could Make Your Psoriasis WorseFoods That Could Make Your Psoriasis Worse
You might want to rethink hitting happy hour.
Start Slideshow
What Vitamins and Supplements Help With Psoriasis?
What Vitamins and Supplements Help With Psoriasis?

Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.