Psoriatic arthritis can also cause different color changes in your nails, like: Oil drops or salmon patches are small, yellow-pink patches on the nail bed. These are usually only seen in psoriasis or psoriatic arthritis. Leukonychia are small, white dots or lines on the nails.
If you have psoriasis, it's important to check your fingernails and toenails for signs of nail psoriasis. Common signs include: Tiny dents in your nails (called “nail pits”) White, yellow, or brown discoloration.
The changes can take many forms. Your nails might crumble or come away from your finger. You might notice ridges, tiny dents called pits, spots of blood, or a yellow or brown color. The same inflammation that causes other symptoms of PsA leads to nail psoriasis, too.
The common clinical manifestations of nail psoriasis are nail Pitting, subungual hyperkeratosis, onycholysis, and oil drop discoloration. However, nail plate crumbling, red spots in lunula, leuconychia, and splinter hemorrhages are other features.
Pits, horizontal lines, deformity, discoloration, onycholysis (lifting of the nail plate from the nail bed), brittle nails that crumble or splinter, and thickening of the nails can all be signs that nail psoriasis is present.
Color changes
White, yellow, or brown discoloration and/or reddish marks (aka splinter hemorrhages, which are caused by tiny burst blood vessels under the nails) are common among people with psoriatic arthritis.
Without treatment, nail psoriasis may get worse. In severe cases, it may become difficult for a person to use their hands or feet because of the discomfort of nail damage. Untreated, it can also lead to joint problems.
There are eight primary triggers of psoriatic arthritis: stress, illness, skin trauma, drug interactions, alcohol and cigarette smoke, diet, and dry and cold weather. Symptoms can vary widely, and so can treatment options.
Nail pitting
Nail pitting is the most common nail change in psoriatic arthritis. Pits appear as tiny dents in the nail plate. One or more nails can be affected, and there can be just a couple or dozens of them on each nail. People with eczema and alopecia areata can also have nail pitting.
Psoriatic arthritis causes inflamed, swollen, and painful joints. It happens most often in the fingers and toes. It can lead to deformed joints.
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 psoriasis is an autoimmune disease. Your immune system overreacts, which leads to new skin cells growing too fast.
Autoimmune diseases can affect your nails in various ways. If you have alopecia or Hashimoto's disease, your nails can become shaped like a spoon in a concave position. Alopecia can also cause your nails to become weak and crumbly. With Hashiomoto's, your nails may start splitting easily.
Keep nails as short as possible. Loose nails can continue to be injured if they rub against surfaces. It is important to protect your nails from damage because trauma will often trigger or worsen nail psoriasis. One easy way to do this is to wear gloves while working with your hands.
Along with pain, inflammation can make your joints swollen and warm to the touch. Nail problems. Psoriatic arthritis commonly causes changes to the nails, including pitting, breakage, or even separation of the nail from the nailbed. Lower back pain.
Stiff, puffy, sausage-like fingers or toes are common, along with joint pain and tenderness. The psoriasis flares and arthritis pain can happen at the same time and in the same place, but not always. You may also notice: Dry, red skin patches with silvery-white scales.
You may have X-rays, an MRI, an ultrasound and blood tests as well. PsA may sometimes be incorrectly diagnosed as other types of arthritis or other conditions.
Stress is a common trigger for a psoriasis flare. Stress also can make itch worse. This makes managing stress a particularly important skill for people with psoriasis.
Corticosteroids and vitamin D3 analogues are the first choice of treatment for nail bed psoriasis. Other local therapies used in nail psoriasis are 5-fluorouracil, cyclosporin A tazarotene, anthralin, and urea.