What is Psoriasis?

Psoriasis (PS) is a long-term (chronic) scaling of the skin that affects 2% -3% of the UK population. It seems that red, scaly patches called plaques lifted. Each part of the surface of the skin may be involved, but the plates appear most often on elbows, knees and scalp. It can cause itching, but usually not painful. Nail changes in 50% of the population and 10% -20% of people develop psoriatic arthritis.

What happened?

Normally a skin cell matures in 21 to 28 days and during this time, it rises to the surface, where it was lost in a move consistent invisible dead cells. In psoriatic patches of turnover of skin cells is much faster, about 4 to 7 days, which means that even living cells can reach the surface and accumulate with the dead cells. The extent of psoriasis and how it affects a person varies from person to person. Some are easy to remove a small spot on her elbow, who does not hide his concern, while other large visible areas of skin may have been involved, which substantially affect the daily lives and relationships. This process is the same, where it is located on the body. Psoriasis is not contagious.

Introduction

Psoriasis can affect both the fingers and toes. The proportion of people with psoriasis have nail involvement is seen by 50%. In psoriatic arthritis, this may increase to 80%. For unknown reasons, the nails are often affected than toenails.

What is nail psoriasis?

The nails are part of the skin, then it is perhaps not surprising that the skin condition like psoriasis can affect the nails. We do not know why some people did not nail involvement, and others.

Push the nails of the nail plate, which is directly under the cuticle. In people who develop psoriasis of the nails, it is the involvement of the tablet which is pitting and ridges of the nails. Onycholysis, subungual hyperkeratosis and hemorrhage due to diseases splinters of the nail.

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The nail itself is completely inert, with the modification of compounds, tight dead cells and so any treatment must be given to the nail plate itself or the nail bed. The severity of the nail does not follow the severity of psoriasis elsewhere in the body. In rare cases, the nails, the only place where the body can be affected. More generally, if the nails are involved, there will be areas of psoriasis on other parts of the body. You can, however severe nail changes of psoriasis elsewhere on the small body.

What changes can occur?

A number of changes in psoriasis of the nails occur, and what are the most common:

Pitting of nails – the surface of the nail grows the search for small holes, rather like the surface of a thimble. The number of wells varies from one to several dozen.

Onycholysis – this is just replacing the nail the nail bed underlying, and a gap under the nail. When it starts, there is a white or yellowish spot at the tip of the nail, and this then extends to the epidermis. The gap between the nail and the nail bed can be colonized by certain bacteria such as Pseudomonas, which can produce a black pigment. The nail may be infected and discolored and can cause great concern, if confused with melanoma under the nail.

subungual hyperkeratosis – Here you will find a collection of calcareous material to develop under the nail. The nail is raised and can be tricky, especially when the surface of the nail down. This can be particularly disruptive to the toenails, where the nail will be driven by the shoes, which causes considerable discomfort.

Fading – This can be seen as yellow-brown as nail unusual.

Onychomycosis – is a fungal infection that can cause a thickening of the nails. Thiscould be present in more nail psoriasis, and may be confused with the diagnosis. If it is properly diagnosed and IsPresent it can be treated with systemic anti-fungal. It is estimated that about 35% of people who may have involvement of nail psoriasis can cause a fungal infection or exacerbate their psoriasis. Therefore, the treatment of fungal infections or fungal may have no effect on the clearance of nail psoriasis.

Some nail changes, medications that help with systemic retinoids whose skin can, but can lead to the formation of very thin nails that are apparently not caused apparently normal. These nail changes can take several months to develop to be arrested after retinoids.

In addition to these changes, you can Longitudinal ridging and nail polish in the splinter group called reddishmarks bleeding due to receive nails vesselsunder small burst blood.

What can we do? nail psoriasis is perhaps the most difficult to treat psoriasis. tried in the past, many treatments were given of which have no particularly good results. These include:

Steroid injections under the nail – which is extremely painful and usually do not work.

The removal of nails – nails can be removed completely painless with a high concentrationof urea under occlusion polyethylene applied to the nail. The nail is more like jelly and can be removed. Nails can be removed surgically removed or radiotherapy. In general, the nails tend to grow back to normal.

The use of topical steroids rubbed on the cuticle – the nail plate and lies under the cuticle and massage cream steroids in the nail plate can lead to some improvement in nail psoriasis. This is not consistent, and there is a risk that the cuticle can with the veins on the surface to be diluted. Individual reports of a number of dermatologists found that nail psoriasis are improved when patients were treated with vitamin preparations analogue D for psoriasis of the skin. This led to a rubbed more targeted study of vitamin D analogue creams and ointments, the cuticle has resulted in the treatment of psoriasis of the nails. Experience worldwide has shown that it is a line of effective treatment and should be considered first-line treatment of choice. Vitamin D analog cream or ointment should be massaged into the cuticle for about five minutes twice daily. If there can onycholoysis flowed calcipotriol scalp solution under the nail and massage is effective. Remember that nails grow very slowly, and what you do not infringe the existing nail, but the new nail to nail the developing countries. Therefore, it can measure up to one year for fingernails, and two years to nail to the rule. Be patient with the treatment because of slow growth, so that all the benefits of these treatments, you can ask to review a year or more. Is what I can do?

Nails on the one hand in psoriasis can be painful and often finger dexterity. If the nails are affected by the attention and care of a podiatrist and may be useful Slim may eventually remove the nail from the pressure of the thickened nail more pressure to wear shoes that reduce pain and improve mobility to delete.

It can also be an aesthetic problem. The nails are deformed, which can be annoying. Nail polish can be used to cover part of the damage. The application of a nail hardener or artificial nails if the nails are good for most intact can improve their appearance and also helps protect them. Be careful to avoid sensitivities stick with chemicals that are used to apply artificial nails. It is always advisable to tell your nail on your psoriasis, so that he / she can be particularly careful.

Tips for nail care general

The basic strategy for both hands and feet, he must keep nails short. Try again at the point of totrim fixed link and drop down gently with a nail file.

Try to protect your nails from damage because it can aggravate the problem. Consider wearing gloves to protect your nails when you do something to damage your nails can.

Rub moisturizer into the nails and cuticles, or soak in mayhelp emollient oils.

If your nails are pitted, but mostly intact, nail hardener or artificial nails can improve their appearance. It is prudent to exclude the possibility of sensitivity to chemicals and adhesives, by first applying a small sample on the skin.

Toe nails can benefit from ofwarm for at least 10 minutes in a bowl or bucket of water, soft nails soak carefully before filing the thickened part of the nails with a nail file and cut with good sharp scissors to small pieces of nails. You just opposite the toenail, what does it help fight ingrown cons. It helps to wear comfortable shoes ever, the room for the toes occur no grinding of thickened nails. It may be advantageous to consider when buying shoes a size that you select from your normal size.

Always consult a doctor or nurse.

This article was written by psoriasis and psoriatic arthritis, and the Alliance have been prepared should not be used as a substitute for advice from your doctor. They are strong tospeak commanded you to your doctor or health care provider if you think you are quoted by anycondition or elements are used in this article.