#29 Nail Series - Part 3: Diseases and Nail| Dr. Shabari Arumugam

What is Nail Psoriasis and how to treat?

Do you have pitted nails?

Do you have Curved nails?

Do you have spoon-shaped nails?



Welcome to the part III of nail series! SKIN DISEASES AND NAIL

Nail is a window of many skin and systemic diseases. Proper nail care is important to prevent nail infections and to have a good cosmetic appeal in the long run. Any abnormal-looking nails should be properly consulted with a certified Dermatologist to Diagnose many diseases at an earlier stage.

What is Nail Psoriasis?

 If you have psoriasis, it’s important to check your fingernails and toenails for signs of nail psoriasis. Common signs include:

  • Tiny dents in your nails (called “nail pits”)

  • White, yellow, or brown discoloration

  • Crumbling nails

  • Nail(s) separating from your finger or toe

  • Buildup beneath your nail

  • Blood under your nail

If you notice any of these signs or another problem with a nail, tell your dermatologist. Treatment can help clear nail psoriasis and reduce pain. Without treatment, nail psoriasis may worsen. Some people develop “disappearing” nails. This can affect people’s ability to use their hands or walk. Treatment can prevent this. 

Nail changes can also be a sign of psoriatic arthritis, so you want to see your dermatologist to find out. Treating psoriatic arthritis can prevent it from getting worse.

Do you have pitted nails?

If you have dents in your nails that look like they were made by an icepick, this could be a sign that you have a disease that affects your entire body.

People who have pits in their nails may have:

  • Psoriasis
  • Atopic dermatitis
  • Alopecia areata

Seeing a board-certified dermatologist for a diagnosis is important. Dermatologists are the specialists who diagnose and treat these diseases. Treatment can help you feel more comfortable and prevent the disease from worsening.

Do you have Curved nails?

The curving can begin so gradually that many people are unaware it's happening. As the nails continue to curve downward, fingertips often swell and the nails start to feel spongy when pressed on.

If you notice your fingernails start to curve, it’s time to see a certified dermatologist. Curved nails can be a harmless trait, which runs in the family. Curved nails can also be a sign that you have a disease in the:

  • Lungs
  • Heart
  • Liver
  • Stomach or intestine

Do you have spoon-shaped nails?

If you have thin fingernails that dip down in the middle and look like spoons, you may not be getting enough iron. People develop an iron deficiency for many reasons, including:
  • Lack of proper nutrition
  • A health problem with their stomach or intestines
  • Sensitivity to gluten (celiac disease)
  • High altitude
Getting a proper diagnosis and treatment can help you feel better.

If your nails change, swell, any changes or cause pain, see your dermatologist because these can be signs of serious nail problems. If you have diabetes or poor circulation, it’s especially important to seek treatment for any nail problems. If you have questions or concerns about caring for your nails, see a certified dermatologist.


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