Dermatology

Nail Psoriasis

Understanding the symptoms, causes, and treatments for nail changes related to psoriasis.

What is Nail Psoriasis?

Are your nails pitted, thick, or discolored? Learn how psoriasis can affect the nails and what treatments can help restore their healthy appearance.
Nail psoriasis is a common condition in people with psoriasis, where inflammation affects the nail bed and matrix. It can cause nail pitting, discoloration, thickening, and separation from the nail bed. Proper treatment can improve nail appearance, relieve discomfort, and prevent further damage.

Common Symptoms

  • Small pits or dents on the nail surface
  • Yellow or brown nail discoloration
  • Thickened or crumbly nail texture
  • Nail lifting or separation from the nail bed (onycholysis)
  • Pain, tenderness, or inflammation around the nail

When to see a dermatologist

  • Nail changes appear along with psoriasis on the skin
  • Pain or infection develops around the nails
  • Nails become thick or deformed
  • Nail changes affect daily activities or self-esteem
  • Over-the-counter treatments are ineffective

Early detection is important for managing the condition and preventing further complications.

Schedule a consultation today.

Causes and Risk Factors

  • Psoriasis affecting the nail bed or matrix
  • Genetic predisposition or family history of psoriasis
  • Immune system dysfunction
  • Stress, infections, or injury triggering flare-ups
  • Certain medications or systemic conditions

Diagnosis and Tests

  • Physical and visual examination of the nails
  • Review of medical and family history
  • Skin assessment for psoriasis plaques
  • Nail sample to rule out fungal infection
  • Imaging or biopsy in complex or unclear cases

Treatment Options

  • Topical corticosteroids or vitamin D analogs to reduce inflammation
  • Phototherapy for moderate nail psoriasis
  • Systemic or biologic medications for severe or widespread disease
  • Nail care practices such as gentle trimming and avoiding trauma
  • Antifungal treatment if a secondary infection is present

Doral Health & Wellness Skin Health Department

Doral Health & Wellness Dermatology offers comprehensive skin care services for all ages and skin types. Our expert dermatologists provide personalized care for various skin conditions, including acne, eczema, psoriasis, and skin cancer. We offer advanced treatments and cosmetic procedures to help you achieve healthy, radiant skin.

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