Nail changes These are most common in people who have systemic lupus erythematosus (SLE). Some people develop a nail infection, which can cause splitting or crumbling nails and discoloration (A), or swollen skin and discoloration around the nails (B). Sometimes, visible blood vessels appear around the nails.
Nail psoriasis is an autoimmune disease that causes discoloration, pitting and changes in the structure of your nails. It can make you feel self-conscious, though you can buff your nails and apply nail polish to improve their appearance. Nail psoriasis isn't contagious, and treatments can help your symptoms improve.
Lupus Symptom: Nail Changes
Lupus can cause the nails to crack or fall off. They may be discolored with blue or reddish spots at the base. These spots are actually in the nail bed, the result of inflamed small blood vessels. Swelling may also make the skin around the base of the nail look red and puffy.
Grooves across the fingernails (Beau's lines)
These could appear following a flare of lupus or exposure to cold temperatures if you have Raynaud's.
Onycholysis, defined as detachment of the nail plate from the nail bed, is the most common nail abnormality in patients with SLE, followed by longitudinal ridging.
Red or brown stripes: Lupus may cause red or brown stripes to appear below the nail bed. Also known as splinter hemorrhages, these stripes occur due to damage to the blood vessels. Grooves across the nails: Grooves across the nails, known as Beau's lines, can occur due to lupus or Raynaud's phenomenon.
Nail changes
These are most common in people who have systemic lupus erythematosus (SLE). Some people develop a nail infection, which can cause splitting or crumbling nails and discoloration (A), or swollen skin and discoloration around the nails (B). Sometimes, visible blood vessels appear around the nails.
lupus psychosis. It is described as delusions or hallucinations. About 12 percent of lupus patients experience it. A few more little-known symptoms are vertigo, Raynaud's Syndrome, and oral health problems, like gum disease.
Split, cracked, or brittle nails may be due to thyroid disease, psoriasis, frequent hand washing, or medications. When this symptom is accompanied by yellowness it can also indicate a fungal infection. Healthy nails should be smooth and have a consistent color.
"Horizontal nail ridges, or Beau's lines, may be the result of a physiologic stressor, or something systemic such as diabetes, thyroid abnormalities, or kidney disease," Gohara says, adding that sometimes physical trauma like hitting your hand or fingers against something as well as a lack of nutrients due to a ...
The effects lupus may have in and around the eyes include: changes in the skin around the eyelids, dry eyes, inflammation of the white outer layer of the eyeball, blood vessel changes in the retina, and damage to nerves controlling eye movement and affecting vision.
David Baek, DPM, a podiatrist who specializes in wound care at Shady Grove Podiatry in Gaithersburg, MD, sees many people with lupus or other autoimmune diseases. Their most common symptoms, he says, are swelling and pain from arthritis in the foot and ankle. The second most common complication is Raynaud's.
Nail abnormalities associating systemic disorders are very important for both rheumatologists and dermatologists because they are easily examined and may be the only initial signal of this disease [17].
Nail changes including discoloration, crumbling, onycholysis, Beau lines, ridging, pitting, thinning, etc., have been described in T-cell lymphomas [1, 2]. Reports of nail changes in B-cell lymphomas and Hodgkin lymphomas are limited. Beau lines are horizontal ridges and indentations that develop on nails.
If the nails are mostly white with darker rims, this can indicate liver problems, such as hepatitis. In this image, you can see the fingers are also jaundiced, another sign of liver trouble.
Ridges in your nails may be age-related. Horizontal ridges, also known as Beau's lines, that run across the nail indicate that your nail growth slowed or stopped and that it could be related to a health condition. Common causes include high fever, vitamin deficiency, injury, diabetes and peripheral vascular disease.
Nail clubbing is when a nail curves under at the tip of the finger. It could indicate heart disease, inflammatory bowel disease, lung disease, liver disease, thyroid disease, or HIV/AIDS. Puffy redness near the cuticle can indicate inflammation, a bacteria or yeast infection, Lupus, or other connective tissue disease.
Virtually any symptom of illness or inflammation can signal lupus. However, some of the symptoms most closely associated with lupus include: a butterfly-shaped rash on the face. skin changes and sun sensitivity.
Signs can range from a mild rash and arthritis to kidney failure and seizures — “with a whole spectrum in between,” she says. Symptoms can also mimic other diseases, including infections and cancer.
Antibody blood tests
The test you will hear about most is called the antinuclear antibodies test (the ANA test). 97% of people with lupus will test positive for ANA.