Psoriasis, which is essentially a skin disease, can infect nails on the hands and on the feet. Nail psoriasis - a disease whose treatment requires patience.
What is nail psoriasis
Nail psoriasis rarely occurs in isolation and apart. It is a chronic inflammatory disease of the type which may affect the entire body. The cells of psoriasis, circulating in the body (skin, nails, joints), can trigger the disease in any part of the skin and sometimes to complement joint disease
Joint disease - prevention is better than cure
Nail psoriasis susceptible people who suffer from psoriatic rheumatism
Rheumatic fever - are possible complications of heart
, Severe joint disease of inflammatory nature.
Sometimes defeat nail plates is the initial stage of the disease: an average of 1-5% is found in patients with this pathology.
Recognize nail psoriasis can be on several grounds:
- a symptom of a thimble: punctiform indentations on the nails;
- pinkish-brown "oil" spot at the base of the nail;
- a significant thickening of the nail and separation of the nail plate from the distal edge, that is, from the white part, located at the tip of the nail. The nail becomes loose and starts to crumble at the ends. This is called onycholysis, which may be accompanied by hyperkeratosis the presence yellowish-white spots.
Extent of the disease
There are several degrees of the disease. Psoriasis often begins with the destruction of the nail and spread to other nails (hands and feet).
Lesion area of each nail is not the same, as well as the intensity of the inflammatory process hyperkeratosis or delamination.
Diagnose nail psoriasis is not always easy. To be completely sure that we are talking about psoriasis, mycosis and not necessary to make a smear on the identification of a fungal disease. The dermatologist cuts off the tip of the affected nail and puts it in the incubator. The result will be known after three weeks.
Diagnosis of nail psoriasis may require biopsy of the nail (the separation of a small piece of the nail). By resorting to this procedure is extremely rare, as it is very painful for the patient.
In addition, the doctor will ask the patient some questions to understand whether his illness is accompanied by pain in the joints or the lack of flexibility and mobility in the morning hour. In this case, it advises refer to a rheumatologist to exclude joint disease.
There are several effective treatments for nail psoriasis. The dermatologist will choose the best treatment option, taking into account the extent of the disease, the number of affected nails and general health of the patient.
Nail psoriasis requires long-term treatment. You must give the affected nails grow back. For fingernails it could take six months, and on her feet - 9-12 months.
Psoriatic nail is very weak and susceptible to infectious diseases, including mycosis. In this case it will be necessary to treat and fungus.
Typically, they start with topical treatments using ointments based cortisone or cortisone mixtures and vitamin D. Ointment is recommended to be applied daily to the affected area, preferably overnight. If the number of affected nails very high, local treatment is not enough. There are systemic immunosuppressive treatment in the case of extensive skin psoriasis.
- Acitretin treatment is offered to girls of childbearing age. You can not plan pregnancy during treatment adventures, and for two years after treatment, as this poses a risk to the fetus.
- Using methotrexate for the treatment of psoriasis, the patient will not be able to get pregnant. You have to wait three months before you plan a pregnancy.
- Immunosuppressant cyclosporin has side effects: hypertension, renal failure and so on. Before treatment is necessary to identify the risk of such disorders. But the treatment of cyclosporine, pregnancy is not a problem.
Psoriasis can be treated with local injection of cortisone. Injections are administered in the area around the nail under local anesthesia as it is painful procedure.
Psoriasis of the nails and manicure
If any of psoriasis, the nails are advised to cut very short, because they are very fragile and any light injuries can cause inflammation. If the nails are hit, you should not do manicures, this reduces the effectiveness of treatment and contributes to the development of the disease.
Need for good hygiene of affected areas and avoid contact with excessive moisture on the nail, it is the risk of athlete's foot. Observe personal hygiene, because often the fungus spread in the skin, and then comes to nails.
Not forbidden to apply nail polish, but do not use artificial nails
Artificial nails: benefit or harm
As when removed, they run the risk of a new inflammation and injury.
Unlike the skin of psoriasis, nail psoriasis is not transmitted from person to person. Nail psoriasis appears in people with skin psoriasis.
Nail psoriasis - a "social" pathologies. When the disease affects the hands, there are problems in communicating with people. Even in everyday life nail psoriasis
Nail psoriasis - a difficult problem
implies some kind of difficulty in performing simple household chores: washing dishes, cleaning, cooking, sewing. The disease greatly affects the quality of life, so it is necessary to help the patient get rid of this disease, even with the unpleasant therapeutic procedures.