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Nail Psoriasis

Nail Psoriasis Overview

Psoriasis is a common chronic condition of the skin. A person with psoriasis typically has patches of raised, red skin with silvery scales. The affected skin may look shiny and red or even have pustules, depending on the type of psoriasis the individual has. These skin changes usually occur on the elbows, knees, scalp, and trunk. In the United States, about 7 million people (2%-3% of people) have psoriasis. About 150,000-260,000 new cases are diagnosed each year. Psoriasis can also affect the fingernails and toenails, causing pitting and thickening and irregular contour of the nail.

Most people who have psoriasis of the nails also have skin psoriasis (cutaneous psoriasis). Only 5% of people with psoriasis of the nails do not have skin psoriasis. In people who have skin psoriasis, 10%-55% have psoriasis of the nails (also called psoriatic nail disease). About 10%-20% of people who have skin psoriasis also have psoriatic arthritis, a specific condition in which people have symptoms of both arthritis and psoriasis. Of people with psoriatic arthritis, 53%-86% have affected nails, often with pitting.

If psoriasis of the nails is severe and is not treated, it can lead to functional and social problems.



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Nail Psoriasis

Pustular Psoriasis Overview

Pustular psoriasis is an uncommon form of psoriasis. People with pustular psoriasis have clearly defined, raised bumps on the skin that are filled with pus (pustules). The skin under and around these bumps is red. Large portions of your skin may redden.


Pustular psoriasis. Note the clearly defined, raised bumps on the skin that are filled with pus (pustules). The skin under and around these bumps is red.

The skin changes you may notice before, during, or after an episode of pustular psoriasis may be similar to those of regular psoriasis. People with the usual skin symptoms of psoriasis have patches of raised skin with scales.  
 
Pustular psoriasis is classified into one of several types, depending on your symptoms. Your symptoms may be sudden and severe (acute), long term (chronic), or somewhere in between (subacute). The generalized type affects your whole body with more than just ski...

Read the Pustular Psoriasis article »



Read What Your Physician is Reading on eMedicine

Psoriasis, Nails »

Psoriatic nail disease has many clinical signs.

Read More on eMedicine »

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