Doctor insights on:
Nail Pitting 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
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
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
Can nails pitting occur on healthy people? I have very unnoticeable nail pits without skin psoriasis, so do my parents. Can it be normal?
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
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
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
Is it possible to have idiopathic nail pitting? I have superficial pits, irregular in some nails and in rows in others. No AA nor psoriasis/joint pain
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
I have nail pitting in a few nails. No family history of psoriasis and never had skin lesions. I wash my hands too frequently. What could it be?
OCD: See PMD. Probably related to hand washing. ...Read more
Had psoriasis bad as a child now get occasional spots. High CRP and esr. Joint pain and nail pitting all recent?
I noticed about 3 years ago I had nail pitting. Recently it’s been appearing on my nails every 2-3 months. I have no other symptoms.?
Nail pitting.: Send me pictures and I can help. ...Read more
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 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
Why would I have a raised horizontal bump in my thumbnail? It's very smooth so you can't barely see it, only feel it. Also have nail pitting.
Bump can be a cyst: Under the nail, but also other things, need to see dermatologist for diagnosis and treatment. ...Read more
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've nail-pitting in left hand’s middle finger. Taking “Sternon-S Lotion” and "Viterma cap”since 5 days. No improvement. Will it work?
My fingernail had tiny white spots, after it disappeared it left my nail pitting. And now 3 of my fingernails are also pitting. What's going on with my nails?
My 3years old has had nail pitting for a year, had iron deficiency and has been on iron supplements. What could be wrong?
See another MD: Since it has been a year, see an MD again and have them do a complete blood screening. ...Read more
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?
What else besides psoriasis can cause pitted nails? I have superficial pits in some nails, barely noticeable. No lesion on skin, no joints pain. I have had seb derm for years. My parents also have similar pits on their nails and they don't have P.
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.
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
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
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
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
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