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Nail Psoriasis (cont.)

When Is Surgery Needed for Nail Psoriasis?

If other treatments don't work, a doctor can surgically remove the nail. The area is numbed with a local anesthetic before the nail is removed.

Is It Possible to Prevent Nail Psoriasis?

Psoriasis is strongly influenced by inherited genes, and prevention of psoriasis is not possible. However, to help prevent flares and involvement of the nails, keep the nails dry and protect them from damage.

What Is the Prognosis of Nail Psoriasis?

Nail psoriasis does not have a cure, but the treatments mentioned above may improve the appearance and function of the nails.

Where Can Patients Find Support for Nail Psoriasis?

Education is one of the foundations for managing this chronic and typically relapsing disorder. People with psoriasis should be familiar with the treatment options in order to make proper informed decisions about therapy. The National Psoriasis Foundation is an excellent organization that provides support to people with psoriasis.

Where Can Patients Find More Information on Nail Psoriasis?

National Psoriasis Foundation

National Institute of Arthritis and Musculoskeletal and Skin Diseases

American Academy of Dermatology

Nail Psoriasis Pictures

Media file 1: Anatomy of the nail, view from top.
Media file 1: Anatomy of the nail, view from top.

Media file 2: Anatomy of the nail, side view.
Media file 2: Anatomy of the nail, side view.

Media file 3: Nail psoriasis with nail loosening. Image courtesy of Hon Pak, MD.
Media file 3: Nail psoriasis with nail loosening. Image courtesy of Hon Pak, MD.

Media file 4: Nail psoriasis of the fingernails and toenails. Note discoloration. Image courtesy of Hon Pak, MD.
Media file 4: Nail psoriasis of the fingernails and toenails. Note discoloration. Image courtesy of Hon Pak, MD.

Media file 5: Nail psoriasis with pitting. Image courtesy of Hon Pak, MD.
Media file 5: Nail psoriasis with pitting. Image courtesy of Hon Pak, MD.

Media file 6: Nail psoriasis with joint involvement.
Media file 6: Nail psoriasis with joint involvement.

Media file 7: Extensive psoriasis with nail and joint involvement.
Media file 7: Extensive psoriasis with nail and joint involvement

REFERENCES:

Gregoriou, Stamatis, et al. "Treatment Options for Nail Psoriasis." Expert Rev Dermatol 3.3 (2008): 339-344. <http://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>.


Medically Reviewed by a Doctor on 9/11/2017

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