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Nail Psoriasis

Question:

What symptoms did you experience with your nail psoriasis? Submit Your Comment

Comment from: howie, 75 or over Male (Patient) Published: May 06

My fingers split under the nails and on the side of the nail because of nail psoriasis. Feels like a splinter is being inserted ever so slowly and the result when symptoms start to appear is much joint pain and stiffness, and muscle aches. Sometimes my entire body feels affected.

Comment from: CJ714, 35-44 Male (Patient) Published: March 21

I have psoriatic arthritis (PsA) in my nails and at first, the weird growth on my toes were annoying. The nail was so thick, like over a quarter inch thick! I went to the river and it almost came off when I bumped into a rock. Towards the back of the nail was basically the nail bed showing! Anyhow, once I got home I got a nail clipper and started to cut and chisel my toe nails so that at least the shape of it looked normal. I finally went to my dermatologist and when I asked about it, he told me to use the acetonide triamcinolone cream and put apply it on the cuticle. After a few weeks to a month, I saw that my toe nails were beginning to grow somewhat normally, at least the shape and the thickness. It still looked terrible but not bad at all. I then started to take flax seed oil pills 1300 mg, 2 to 3 pills a day for my PsA and within days, much of my excruciating pain started to get better. I continued taking this flax seed pill for 3 months 2 times a day and the next thing you know, I was able to play a little bit of basketball again, was able to walk 95 percent normal, and started to live a more active lifestyle that I used to. My skin is still bad but next week, I will be continuing my phototherapy along with using creams/head solutions, and hopefully be successful with Humira. Don't ever give up. I'm a heavy drinker of 20 years and now I have started to detox and ease myself into a healthier lifestyle by eating better, getting about 5 hours of moderate exercise per week, and also educating myself about this small setback in life.

Comment from: 45-54 Female (Patient) Published: September 01

I'm a 45 year old healthy woman with psoriatic nails on my big toes on both feet. I've used steroid drops with minimal improvement. I've taken to soaking them in warm salt water once a week, gently using a nail brush on the nails and keeping them trimmed back where they lift up. I'm hoping that the warm water will help improve circulation; the salt will have a healing soothing effect to the affected skin.

Comment from: TGunnell, 7-12 Female (Patient) Published: July 27

My son is 8 years old and he has been diagnosed with ONLY Nail Psoriasis by three different doctors. He has no family history of Psoriasis on either side of his family. One Dr. from Houston said it was the worst case he's seen on a child but since he is a child, the treatments are too strong for his body to handle. He is a perfectly healthy boy aside from the nail psoriasis. We are at a loss of what to do next. It is starting to negatively impact him in school. Kids his age don't understand that they can't contract what he has. It hasn't gotten better in the last three years, only worse. It is now on identical fingers and toes but not at all on his skin. The dermatologist recently prescribed Urea for him. His nails have fallen off but not entirely they're still in the "crumbling" stage. All I can do is take him to another Dr. and hope he has a different treatment for him. I really hope a cure is found for this.

Comment from: Psoriasesfree, 45-54 (Patient) Published: December 13

I have been suffering with psoriasis for years. I had it on my left shin and elbow and scalp. Nothing helped. I had white scales on my leg and elbows. It itched and flaked. I then discovered this wonderful ointment called Synalar. You can ask your doctor to give you a prescription. It is in a 15 g tube. There's a cream as well but it is not as effective. Stick with the ointment. It cleared up my psoriasis never to return. I wish I had photos to show. My legs are smooth. I still keep a tube handy just in case.

Comment from: Mary, 55-64 Female (Patient) Published: September 06

In the past I have had severe psoriasis on my face near my eyes (2010) following a nervous breakdown. Since that time I have moderate scalp psoriasis and now nail psoriasis. My internist prescribed clobetasol propionate USP, 0.05 percent for my scalp, in a dropper squeeze bottle. It works. I have been searching for a treatment for the nails and this site has been most helpful.

Comment from: Esmatullah S., 19-24 Male (Patient) Published: December 03

I've been suffering from psoriasis of toenails since the past few months. I used some kind of antibiotics but it did not make it better.

Comment from: bryjan, 65-74 Female (Patient) Published: November 25

I have this disease and was told nothing could be done about. However on researching found the Chinese were using natural indigo (Qing Dai) mixed with a little Vaseline. Clean nails, rub it into the nails thoroughly and wait for as long as possible to then rub the excess off. I then use a base coat. I have been doing this for a year now and my nails are strong and hard. It's messy stuff but definitely worth it.

Comment from: Liz2525, 55-64 Female (Patient) Published: March 05

I have had finger and toe nail psoriasis for about a year now. Nothing has helped including steroids and methotrexate. One of my large toenails stopped growing out three months ago.

Comment from: ths49, 45-54 Female (Patient) Published: November 14

What cured my nail psoriasis was taking a supplement hydrochloric acid with my meals. this supplement can be found in local health food stores.

Comment from: Randy, 45-54 Male (Patient) Published: July 31

Listen to me please. I am a healthy 53 year old male. I have had psoriasis of the nails for almost 30, yes 30 years. For many years the doctors were treating it as a fungus. It wasn't until I was doing some research and read about and saw pictures of nail psoriasis that I realized it was NOT a fungus. I have been taking a pill called "quick relief psoriasis and eczema treatment" This stuff is returning my nails to normal! It works! I have been taking them for about 2 months now. It will take a few weeks to see results so don't give in. I ordered the pill online they cost about $88.00 for a 3 month supply. I just ordered another bottle this morning. I know what it's like living with embarrassing disorder and I hope I can help others.

Comment from: 45-54 Female (Patient) Published: February 22

I've had nail psoriasis for 5 years now. My dermatologist has tried everything, including Accutane. Now I'm taking methotrexate 20mg, with thus far (after 3 months) no results yet. It's very frustrating!!

Comment from: emmy, 35-44 Female (Patient) Published: January 26

Thickening of the nails - it is very painful on my toes especially the big ones and I have to see a chiropodist regularly as the nails grow inwards and I can't wear certain types of close fitting shoes. It is so embarrassing in the summer so I file them myself and keep them as short as possible and paint them. I am in so much pain at times! My fingernails get the telltale blood splinters and yellow/whitish discoloration, which I also find embarrassing as it looks like fungal nail infection! I am going to see my GP and find out if I can get a topical steroid to help. Also I have a skin patch on my leg which is painful and inflamed a lot but I have a steroid cream which does not do much.

Comment from: jmetza, 45-54 Male (Patient) Published: November 29

I had severe psoriasis on my nails for over ten years. It hurt and was very embarrassing. I was treated with everything the dermatologist could throw at me an nothing worked. But, when I stopped taking glucosamine chondroitin my nail problems stopped in three months my nails were perfect!

Comment from: Minnie, 45-54 Female (Patient) Published: September 06

I have suffered from psoriasis for years but it is only in the last 10 years or so that I have had nail psoriasis. My finger nails have become pitted but my main problem is my big toe nails. I visited a chiropodist about this and she confirmed it was nail psoriasis and just to keep them trim but they are very thick and raised and seem to grow up and thicker rather than out like normal nails. I have terrible trouble trying to file them down so I can put my shoes on, hence have trouble wearing shoes at all. I was hoping someone would be able to tell me the best file I could use to thin these nails out. I have tried nail softening creams but they don't seem to make any difference. I have got an electric manicure set which helps somewhat but I seem to need something more powerful to file them down to a reasonable thickness.

Comment from: latecomer, Male (Patient) Published: May 17

My finger nails, according to other descriptions, are atypical. There is no spotting or lifting. There is, primarily, longitudinal cracking and splitting. Some of the cracks peel a bit from the surface, laterally. The worst (oldest affected) are deforming, "dishing", both longitudinally and laterally. I have no other signs of psoriasis (my son does have psoriasis--skin and joints) and my nails began to change at age 79. My toe nails are now beginning to show signs approx 18 months later.

Comment from: Maria, 45-54 Female (Patient) Published: April 20

I have had nail psoriasis for 2 years and visited a naturopath who changed my diet and cut out wheat and dairy, I also had acupuncture. All this kept it under control but the nails did not grow, they just stayed thick and crumbly. Last month I saw a homeopath and she put me on a daily dose of Syphilinum 200, it is 5 weeks later now and my nails are growing, they are thinning out and starting to look really healthy, it looks like I have finally found something that works!

REFERENCES:

Gregoriou, Stamatis, et al. "Treatment Options for Nail Psoriasis." Expert Rev Dermatol 3.3 (2008): 339-344. <https://www.medscape.com/viewarticle/576850>.

Li, Cindy. "Nail Psoriasis." Medscape.com. Jan. 22, 2015. <http://emedicine.medscape.com/article/1107949-overview>.

Ortonne, J.P., R. Baran, M. Corvest, C. Schmitt, J.J. Voisard, and C. Taieb. "Development and validation of nail psoriasis quality of life scale (NPQ10)." J Eur Acad Dermatol Venereol 24 (2010): 22-27.

United States. National Institute of Arthritis and Musculoskeletal and Skin Diseases. "Questions and Answers About Psoriasis." Oct. 2013. <http://www.niams.nih.gov/Health_Info/Psoriasis/default.asp>.

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