Nail Psoriasis

Psoriasis is a common chronic condition of the skin. A person with psoriasis typically has patches of raised, red skin with silvery scales. The affected skin may look shiny and red or even have pustules, depending on the type of psoriasis the individual has. These skin changes usually occur on the elbows, knees, scalp, and trunk.Psoriasis can also affect the fingernails and toenails, causing pitting and thickening and irregular contour of the nail.

Most people who have psoriasis of the nails also have skin psoriasis (cutaneous psoriasis). Only 5% of people with psoriasis of the nails do not have skin psoriasis. In people who have skin psoriasis, 10%-55% have psoriasis of the nails (also called psoriatic nail disease). About 10%-20% of people who have skin psoriasis also have psoriatic arthritis, a specific condition in which people have symptoms of both arthritis and psoriasis. Of people with psoriatic arthritis, 53%-86% have affected nails, often with pitting.

If psoriasis of the nails is severe and is not treated, it can lead to functional and social problems.

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Scalp Psoriasis

Several types of psoriasis may appear on the scalp. Some may cause severe dandruff, while others can be painful, itchy, and very noticeable at the hairline. It can extend to the neck, face, and ears, and it may be in one large patch or many smaller patches.

In some cases, scalp psoriasis can make even regular hair hygiene difficult. Excessive scratching can cause hair loss and scalp infections, and the condition can be a source of social stress. Topical treatments may be effective, but they may require an initial two months plus permanent regular maintenance.

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