Treatment options for individuals with psoriasis on their hands, feet and/or nails. Wear cotton gloves so the medicine doesn’t get on sensitive skin sites, such as the face or skin folds. Nail changes occur in up to 50 percent of people with psoriasis and at least 80 percent of people with psoriatic arthritis. Get the latest news on psoriasis and psoriatic arthritis. Sometimes, the fungal infection can spread between your toes and onto the skin of your feet. Up to 50 percent of people with psoriasis and at least 80 percent of people with psoriatic arthritis have problems with their nails, according to the National Psoriasis Foundation. When you have discoloration, pitting, or cracking of your nails, you should probably seek a medical opinion. 10 to 20 of people with psoriasis will develop psoriatic arthritis. The percentage of those with psoriasis who have nail involvement is thought to be up to 50. For some unknown reason fingernails are more often involved than toenails.
Psoriatic arthritis is a type of inflammatory arthritis that will develop in up to 30 percent of people who have the chronic skin condition psoriasis. Nail psoriasis results from psoriatic involvement of the nail bed or nail matrix. It has been estimated that 80 to 90 percent of patients with psoriatic arthritis develop nail involvement 6,7. The physical changes in nail psoriasis are reviewed below:. People with psoriasis may also have changes in their fingernails and toenails, such as nails that become pitted or ridged, crumble, or separate from the nail beds. Psoriasis typically begins during adolescence or young adulthood, and psoriatic arthritis usually occurs between the ages of 30 and 50. The distal interphalangeal predominant type affects mainly the ends of the fingers and toes. Fewer than 5 percent of individuals with psoriatic arthritis have this form of the disorder.
Psoriasis can affect both the toenails and fingernails. About 50 percent of persons with active psoriasis have psoriatic changes in fingernails and/or toenails. Tumor necrosis factor inhibitors are effective treatmentsfor psoriatic arthritis. Approximately 90 percent of affected patients have plaque psoriasis, characterized by well-defined round or oval plaques that differ in size and often coalesce6 (Figure 1). 5 times greater in persons with psoriasis; reported increased risk of psoriasis in persons with a family history of multiple sclerosis. The fingernails and toenails also are often affected and become pitted and ridged. In 85 percent of cases, people have psoriasis skin symptoms prior to the onset of psoriatic arthritis, often years before. When a person has active psoriasis and exhibits arthritis symptoms, psoriatic arthritis is usually suspected first.
The disease may also affect the fingernails and toenails, and the soft tissues inside the mouth. About 50 percent of persons with active psoriasis have psoriatic changes in fingernails and/or toenails. With nail psoriasis the nail plate usually shows shallow or deep pitting thickening of the nail discoloration and sometimes separation of the nail from the nail bed according to the National Psoriasis Foundation. 50 percent of people with active psoriasis have psoriatic fingernails and toenails. Up to 30 of people with psoriasis will also get psoriatic arthritis. Commonly, psoriasis shows first, but in a small percentage of people (approximately 15 ), arthritis may show first. Other possible causes of psoriatic arthritis are exposure to infection or changes in the environment. About 50 percent of persons with active psoriasis have psoriatic changes in fingernails and/or toenails. What is a disability? The answer is far from obvious.