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Doctor insights on: Nail Pitting Psoriasis

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How to cure psoriasis?

How to cure psoriasis?

Psoriasis: There is no cure for psoriasis only control. There are prescription topical steroids. There are intralesional steroid injections. The biologics like Humira, Enbrel, Remicade, (infliximab) and Otezla are very effective at treating psoriatic arthritis and also the skin lesions of psoriasis. Patients with psoriasis are also prone to cardiovascular disease but the biologics help reduce this. ...Read more

Dr. Thomas Namey
1,030 Doctors shared insights

Psoriasis (Definition)

An autoimmune disease involving the skin, nails, and occasionally the joints. It is not contagious. There are several types of skin lesions, most common variety being large red scaly itchy plaques on extensor surfaces such as elbows and knees. Psoriasis can be controlled by a wide variety of medications, but a cure has ...Read more


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I was wondering what are some causes of nail pitting besides psoriasis?

I was wondering what are some causes of nail pitting besides psoriasis?

Quite a few causes: Up to 50% of patients with psoriasis have pitting nails, but other diseases: reiter’s syndrome, some connective tissue disorders, sarcoidosis, pemphigus, alopecia areata, and incontinentia pigmenti. Also localized trauma such as cuticle-picking, dermatitis (e.g., atopic or chemical dermatitis) that disrupts orderly growth in that area also can cause pitting. Consult doc. Good luck. ...Read more

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Reason for sudden onset distal joint finger pain, nail pitting? No history of psoriasis.

Reason for sudden onset distal joint finger pain, nail pitting? No history of psoriasis.

Get evaluated: See a rheumatologist. Sometimes psoriatic arthritis appears before the classic skin changes. Nail pitting can be associated with psoriatic arthritis. ...Read more

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Can nails pitting occur on healthy people? I have very unnoticeable nail pits without skin psoriasis, so do my parents. Can it be normal?

Can nails pitting occur on healthy people? I have very unnoticeable nail pits without skin psoriasis, so do my parents. Can it be normal?

Yes: If pitted nails is all you have, you may ignore it, especially as it runs in your family.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex.
Get HPV vaccine ...Read more

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I am starting to get nail pitting so I think I might have psoriasis. Is that bad? Are there any vitamins or anything I can do to help it?

I am starting to get nail pitting so I think I might have psoriasis. Is that bad? Are there any vitamins or anything I can do to help it?

Several causes of: Nail pitting. You are right psoriasis can have involved nail pitting and it can even present before the rash too! Besides psoriasis, nail pitting is seen in reactive/post infectious arthritis and alopecia areata (autoimmune hair loss). You should keep an eye out for rashes and/or joint aches as these may be signs of problems to come in the future. No clear supplement will definitively help. ...Read more

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Nail pitting with no other symptoms is getting a little bit better in some nails (no psoriasis, bald patches.). Would it be likely to be AA?

Nail pitting with no other symptoms is getting a little bit better in some nails (no psoriasis, bald patches.). Would it be likely to be AA?

Alopecia areata: It is possible it may be alopecia areata, sarcoidosis, or a connective tissue disease or other causes of skin inflammation in general if all nails are affected. Time to check with a dermatologist who can treat the bald patches and make sure there is no fungal or tension or alternative cause. ...Read more

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Could nail pitting without no skin lesions nor family history of psoriasis be associated with non-diseased states? For example, too much hand washing?

Could nail pitting without no skin lesions nor family history of psoriasis be associated with non-diseased states? For example, too much hand washing?

Not all the same: Not all pitting is the same. Psoriasis, alopecia areata, lichen planus are some of the things you may find. NOT due to calcium or fungus. Some pitting is very trivial, sometimes annoying. A dermatologist may be able to put it in perspective. Nail biting often causes ridges. ...Read more

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Had psoriasis bad as a child now get occasional spots. High CRP and esr. Joint pain and nail pitting all recent?

Related: From the details you include, it is possible that you are developing psoriatric arthritis. Get checked by a doctor familiar with that condition. ...Read more

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What causes nail pitting in adults?

What causes nail pitting in adults?

Psoriasis: This is feature of psoriasis and occasionally alopecia areata., allergic hair loss. It is rarely seen in other conditions. ...Read more

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I noticed that the only nails where I don't have pronounced nail pitting are the ones w/ proper/normal cuticles. The other ones are pushed back. Why?

I noticed that the only nails where I don't have pronounced nail pitting are the ones w/ proper/normal cuticles. The other ones are pushed back. Why?

Nail Pits: Nail pits can occur due to nutritional deficiencies, but psoriasis is also known to cause nail pitting. 10% of those patients will go on to develop joint pain from the psoriasis (psoriatic arthritis). Prior damage to nails can also affect the appearance of nails.

This may interest you: http://emedicine. Medscape. Com/article/1943419-clinical#aw2aab6b3b2 ...Read more

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I have been getting a lot of nail pitting on 5 of my fingers. It started about 6 months ago and has only gotten worse since then. Is there anything I can do to get rid of it?

I have been getting a lot of nail pitting on 5 of my fingers. It started about 6 months ago and has only gotten worse since then. Is there anything I can do to get rid of it?

Need eval: Nail pitting can be a sign of underlying diseases such at Psoriasis, sarcoid, fungal infection of nails and certain dietary deficiencies. Best to see your doctor for evaluation. Dr R ...Read more

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I have very tiny nail pits in some nails, unnoticeable. I have had seb derm for years, no psoriasis, no family history of psoriasis. Can it be idiopathic?

I have very tiny nail pits in some nails, unnoticeable. I have had seb derm for years, no psoriasis, no family history of psoriasis. Can it be idiopathic?

Nail pits: Nail pitting can be associated with psoriasis or Atopic Eczema but can also be unrelated and could be due to external factors as minor trauma. ...Read more

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I have nail pitting on my finger nail and I google and found out it is call psoriasis. May I know what are the treatment to cure it.

I have nail pitting on my finger nail and I google and found out it is call psoriasis. May I know what are the treatment to cure it.

Pitting: Not necessarily psoriasis -- other posssibilty can be trauma (injury to the nail)
if all/many nails are involved, could be more likely a systemic process as psoriasis or eczema. ...Read more

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How can I treat nail psoriasis?

Dermanail: Derma nail, prescription genedur and intralesional steroids can all improve nail psoriasis. The improvement is slow because fingernails will need 6 months to grow out to show the positive effect. Treatment will need to be continued because the inflammation at the nail matrix is still on going. Systemic drugs such as Methotrexate or enbrel, (etanercept) humira, and stelar a will also improve the nails and body. ...Read more

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Can nail psoriasis perceeds systemic manifestations of psoriasis?

Possibly: Less than 5% of people with nail psoriasis have only that as a manifestion of psoriasis. In other words the majority of people with nail psoriasis have more diffuse disease- on skin or systemic. It might preceed more systemic disease but in a small number of cases it could be the only sign of psoriasis. ...Read more

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Is there a cure for mild nail psoriasis?

Mild is Better...: Understand that treating psoriatic nails is sometimes quite frustrating. Curing them is also a real challenge. There are quite a few newer modalities that can affect a better chance of resolution than there was years ago. The success is based on many factors that can be discussed with you be a knowledgeable dermatologist. You can contact a Healthtap dermatologist to help you through your care. ...Read more

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Is there any treatment for nail psoriasis?

Is there any treatment for nail psoriasis?

Yes: The best treatment is to discontinue tobacco use as that makes psoriasis worse. Biologics such as enbrel, humira, strattera (atomoxetine) can be very effective. ...Read more

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What would nail psoriasis look and feel like?

Small holes: Pitting of the nails or small holes in the nails is the most common sign. In more severe cases the nail can have oil like spots or be damaged with thickening the nail. Over the counter product derma nail can be useful as well as steroid shots in moderate cases. A new prescription genedur will help those with psoriaitc nails. ...Read more

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What can I do about my nail psoriasis?

Psoriasis: If diagnosis is correct who made it? There are look alike nail disorders. Need see family dr. Or dermatologist for proper treatment. Do have psoriasis other parts body. There is type psoriasis that occurs after b- strep infections, especially childhood. It remains auto immune disease. ...Read more

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