common Nail involvement appears to result from a combination of genetic inherited immunologic and environmental factors severe nail involvement is more likely in the presence of arthritis ID: 933353
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Slide1
Nail psoriasis
Slide2psoriasis of the nails develops is not completely known but
common
Nail involvement appears to result from a combination of genetic (inherited), immunologic, and environmental
factors
severe
nail involvement is more likely in the presence of
arthritis
people who have nail psoriasis also have
skin symptoms,.
If someone has psoriasis of the nails
but does
not have skin symptoms, the condition may
be difficult
for a doctor to diagnose, since the signs
of psoriasis
of the nails resemble those of fungal
infection of
the nails
Slide3nail changes that may occur::
1-
thimble pitting
.. : discrete , well-circumscribed depression on nail surface
when cells
are
lost from
the nail's surface.(--best-known nail change
)
2-
onycholysis
.. separation of the nail from the nail
bed at free edge
3-
subungual
hyperkeratosis .. silvery white crusting
under
free edge of
nail with
some thickening of nail plate
4-oil spots ..
yollowish
-brown spots
under the nail plate
5-Crumbling
of the
nail .. brittle
and weaken because the underlying structures
are not
healthy..
6-Transverse lines and ridges are due to
intermittent inflammation
Slide4Slide5Complications of nail psoriasis (Nail psoriasis is
unsightly)
Pain
and tenderness
Functional disability
Psychological distress
Secondary bacterial infection (acute paronychia)fungal infection (chronic paronychia,
onychomycosis
)
Slide6There is no effective topical treatment for psoriasis of the nails
.
The goal
of treatment is to improve the function
and appearance
of psoriatic nails.
If the nails have a fungal infection, a doctor will prescribe an antifungal medication
What
Is the Treatment for Nail
Psoriasis? Treatments
include
:
topical
medicines, such as creams applied directly to the nails
systemic
medications, which affect the whole body
intralesional
therapies, which involve a doctor injecting medication into the nail bed
Slide7Thank you