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Symptoms of Psoriatic Arthritis Toenails

Symptoms of Psoriatic Arthritis Toenails

Eshealthtips.com – If you’ve ever experienced a change in your toenails, you may be wondering if you have Psoriatic Arthritis Toenails. Although nail changes are not usually a cause of psoriatic arthritis, they should be evaluated by a doctor to rule out other causes. The symptoms of psoriatic arthritis can be difficult to diagnose, but a physician can help you make the correct diagnosis.

Treatment for Psoriatic Arthritis Toenails Focuses on Problem Management

Treatments for psoriasis typically focus on minimizing the symptoms of the condition while preventing further damage. Treatments for psoriatic arthritis toenails focus on managing the underlying problem and relieving pain. Common treatments include medications that can relieve inflammation and slow down the growth of cells, topical vitamin D cream, and steroid creams. To determine the most effective treatment for your unique case, you’ll need to consult a dermatologist or skin specialist.

Symptoms of psoriatic arthritis may start before other symptoms appear. You may experience a change in your toenails as early as adolescence or later in the disease. If you already have a history of psoriasis, you may also experience nail changes. These symptoms are common enough to prompt you to seek medical attention if you notice these changes in your nails.

Inflammation of the nail matrix may cause white spots on your nails, known as Beau’s lines. The lines run lengthwise and appear on every nail. Because skin and nails share the same proteins, rapid growth of the nail may cause the nail to become excessively thick and crumbly. If you have psoriatic Arthritis, your nails may also develop splinter hemorrhages – tiny blood vessels under the nail.

Caring for Toenails Is Very Important for Overall Health

Taking care of your toenails is crucial for your overall health. Regular manicures of the base of your toenails can exacerbate the problem and increase your risk of infection. Psoriatic Arthritis Toenails can be a problem if you’re prone to infections and you’d like to minimize pain, you should consider wearing shoes that feature extra cushioning for your toenails.

Treatment for Psoriatic Arthritis Toe Nails can include topical applications of corticosteroids and steroid-impregnated tape. Oral prescription medications are the next step. These medications can be applied to affected nails or directly to the nail matrix. Despite these treatments, a doctor may need to inject corticosteroids. Moreover, corticosteroids and other treatments for PsA can also affect other parts of the body.

Symptoms of Psoriatic Arthritis Toe Nails vary among patients. Some may experience a yellow-red patch on the nail bed, which looks like a drop of oil underneath the nail plate. Another sign of psoriasis is a red lunula, which is a half-moon shaped area at the bottom of the nail. These blood vessels are dilated and may lead to splinter hemorrhages. Additionally, the nail may become thickened, crumbly and red.

Psoriatic Arthritis Toenails Are Usually Damaged

While Psoriatic Arthritis Toe Nails are usually damaged, treatments for Psoriatic Arthritis Toenseails will help improve the condition. However, the condition is not reversible, and sometimes patients have to return to their doctor in several months or even years. Therefore, it is important to make sure you have adequate support during treatment for Psoriatic Arthritis Toenails.

Symptoms of Psoriatic Arthritis Toe Nails include discolouration, pitting, and subungual hyperkeratosis. The severity of psoriatic changes is assessed using the modified nail psoriasis severity index (mNAPSI) scale. The mNAPSI scale uses eight different psoriatic nail changes to assign a score. Depending on the severity of each condition, the mNAPSI scale can range anywhere from 1 to 13 points for a nail.


Brazzelli, V., et al. “Prevalence, severity and clinical features of psoriasis in fingernails and toenails in adult patients: Italian experience.” Journal of the European Academy of Dermatology and Venereology 26.11 (2012): 1354-1359.

Sobolewski, Piotr, Irena Walecka, and Klaudia Dopytalska. “Nail involvement in psoriatic arthritis.” Reumatologia/Rheumatology 55.3 (2017): 131-135.


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