Psoriatic onychodystrophy: Difference between revisions
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{{Infobox medical condition | |||
| name = Psoriatic onychodystrophy | |||
| image = [[File:NailPsoriasis.JPG|left|thumb|Nail showing signs of psoriatic onychodystrophy]] | |||
| caption = Nail showing signs of psoriatic onychodystrophy | |||
| synonyms = Psoriatic nail dystrophy, psoriatic nails | |||
| field = [[Dermatology]] | |||
| symptoms = [[Nail pitting]], [[onycholysis]], [[subungual hyperkeratosis]], [[nail discoloration]] | |||
| complications = [[Nail pain]], [[functional impairment]], [[cosmetic concerns]] | |||
| onset = Can occur at any age, often associated with [[psoriasis]] | |||
| duration = Chronic | |||
| causes = [[Psoriasis]], [[autoimmune disorder]] | |||
| risks = Family history of [[psoriasis]], [[psoriatic arthritis]] | |||
| diagnosis = Clinical examination, [[nail biopsy]] | |||
| differential = [[Onychomycosis]], [[trauma]], [[lichen planus]] | |||
| treatment = [[Topical corticosteroids]], [[systemic therapy]], [[phototherapy]] | |||
| medication = [[Methotrexate]], [[cyclosporine]], [[biologics]] | |||
| frequency = Affects up to 50% of individuals with [[psoriasis]] | |||
}} | |||
[[File:Psoriasis fingernail.jpg|Psoriatic onychodystrophy|thumb|left]] | |||
'''Psoriatic Onychodystrophy''' is a condition that affects the [[nails]] of individuals suffering from [[psoriasis]]. It is characterized by changes in the nail's appearance, including discoloration, pitting, and thickening. | '''Psoriatic Onychodystrophy''' is a condition that affects the [[nails]] of individuals suffering from [[psoriasis]]. It is characterized by changes in the nail's appearance, including discoloration, pitting, and thickening. | ||
== Symptoms == | == Symptoms == | ||
The symptoms of psoriatic onychodystrophy can vary, but often include: | The symptoms of psoriatic onychodystrophy can vary, but often include: | ||
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* [[Subungual hyperkeratosis]]: A chalky white material accumulates under the nail. | * [[Subungual hyperkeratosis]]: A chalky white material accumulates under the nail. | ||
* [[Nail thickening]]: The nails may become thick and hard. | * [[Nail thickening]]: The nails may become thick and hard. | ||
== Causes == | == Causes == | ||
Psoriatic onychodystrophy is caused by [[psoriasis]], a chronic skin condition. The exact reason why psoriasis affects the nails is not fully understood, but it is thought to be related to inflammation in the nail bed. | Psoriatic onychodystrophy is caused by [[psoriasis]], a chronic skin condition. The exact reason why psoriasis affects the nails is not fully understood, but it is thought to be related to inflammation in the nail bed. | ||
== Diagnosis == | == Diagnosis == | ||
Diagnosis of psoriatic onychodystrophy is usually based on the characteristic appearance of the nails. In some cases, a [[nail biopsy]] may be performed to confirm the diagnosis. | Diagnosis of psoriatic onychodystrophy is usually based on the characteristic appearance of the nails. In some cases, a [[nail biopsy]] may be performed to confirm the diagnosis. | ||
== Treatment == | == Treatment == | ||
Treatment for psoriatic onychodystrophy focuses on managing the symptoms and includes: | Treatment for psoriatic onychodystrophy focuses on managing the symptoms and includes: | ||
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* [[Systemic treatments]]: These are taken orally or injected and may include methotrexate, cyclosporine, or biologic therapies. | * [[Systemic treatments]]: These are taken orally or injected and may include methotrexate, cyclosporine, or biologic therapies. | ||
* [[Nail care]]: Keeping the nails short and avoiding injury can help reduce symptoms. | * [[Nail care]]: Keeping the nails short and avoiding injury can help reduce symptoms. | ||
== See also == | == See also == | ||
* [[Psoriasis]] | * [[Psoriasis]] | ||
* [[Nail disease]] | * [[Nail disease]] | ||
[[Category:Dermatology]] | [[Category:Dermatology]] | ||
[[Category:Rheumatology]] | [[Category:Rheumatology]] | ||
[[Category:Skin conditions]] | [[Category:Skin conditions]] | ||
[[Category:Nail conditions]] | [[Category:Nail conditions]] | ||
{{stub}} | {{stub}} | ||
Latest revision as of 05:37, 9 April 2025

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
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| Psoriatic onychodystrophy | |
|---|---|
| Synonyms | Psoriatic nail dystrophy, psoriatic nails |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Nail pitting, onycholysis, subungual hyperkeratosis, nail discoloration |
| Complications | Nail pain, functional impairment, cosmetic concerns |
| Onset | Can occur at any age, often associated with psoriasis |
| Duration | Chronic |
| Types | N/A |
| Causes | Psoriasis, autoimmune disorder |
| Risks | Family history of psoriasis, psoriatic arthritis |
| Diagnosis | Clinical examination, nail biopsy |
| Differential diagnosis | Onychomycosis, trauma, lichen planus |
| Prevention | N/A |
| Treatment | Topical corticosteroids, systemic therapy, phototherapy |
| Medication | Methotrexate, cyclosporine, biologics |
| Prognosis | N/A |
| Frequency | Affects up to 50% of individuals with psoriasis |
| Deaths | N/A |

Psoriatic Onychodystrophy is a condition that affects the nails of individuals suffering from psoriasis. It is characterized by changes in the nail's appearance, including discoloration, pitting, and thickening.
Symptoms[edit]
The symptoms of psoriatic onychodystrophy can vary, but often include:
- Nail discoloration: The nails may become yellow-brown.
- Nail pitting: Small dents or pits appear on the surface of the nails.
- Onycholysis: The nails may separate from the nail bed.
- Subungual hyperkeratosis: A chalky white material accumulates under the nail.
- Nail thickening: The nails may become thick and hard.
Causes[edit]
Psoriatic onychodystrophy is caused by psoriasis, a chronic skin condition. The exact reason why psoriasis affects the nails is not fully understood, but it is thought to be related to inflammation in the nail bed.
Diagnosis[edit]
Diagnosis of psoriatic onychodystrophy is usually based on the characteristic appearance of the nails. In some cases, a nail biopsy may be performed to confirm the diagnosis.
Treatment[edit]
Treatment for psoriatic onychodystrophy focuses on managing the symptoms and includes:
- Topical treatments: These are applied directly to the nails and may include corticosteroids, vitamin D analogues, or tazarotene.
- Systemic treatments: These are taken orally or injected and may include methotrexate, cyclosporine, or biologic therapies.
- Nail care: Keeping the nails short and avoiding injury can help reduce symptoms.


