Nail changes

Nail changes

Nail changes are frequent for patients having psoriasis ( up to 80% of cases ). The nail surface becomes rough, having recesses ( the phenomenon of fingertip ), color of nails changes, deformation occurs, nail stands apart from its bed. The treatment is difficult – local medicine heavily penetrates into the nail plate, treatment is usually ineffective. Often the hygienic nail care is recommended (short nail cut, nail polishing ). In severe cases of disease followed by skin infringements and pain in joints systemic medicine is prescribed.

Nail changes ( up to 10% of cases ) are also characteristic for chronic disease such as red lichen planus. One or more nails may be infringed. Roughness of nail surface, nail plate's thinning, a natural loss of the nail plate that may be permanent or irreversible. A specific treatment does not exist. Positive result may be achieved by using a standard treatment or hygienic nail care. 

Onychogryphosis is a thick toe nail, similar to a crooked horn or bird's nail or some of such nails. The disease is mostly common among elder patients and mostly occurs because of a wrong nail care, pressure on the nail plate ( when wearing narrow shoes ) or the infringement of peripheral blood circulation. There are two ways of treatment – surgical removal of a nail plate or a hygienic nail care.

Brittle nails is a normal aging of the organism. Nails become brittle because of a usual contact with water, usage of chemical cleaning measures, constant nail polishing. In this case biotin (vitamin B7) is prescribed for nail strengthening and a usage of creams for moisturizing. It is also recommended to wear gloves while doing housework. Weak nails may also inform about thyroid abnormalities, anemia.


Changes in nail color. Nail color may change for some reasons. For example: green or dark green nails inform about bacterical pseudomnas infection. Nails may get darker because of antibiotics, medicine against maliaria or anticancer drugs. Dark strip acrss the nail plate or skin darkening near or under the nail may warn about such a dangerous disease as melanoma.

''Spoon-shaped'' nails (coilonichia) is a concaved nail with a protuberant edge when having anemia (deficit of iron).

Loss of a nail ( tearing off from the nail bed ) is a normal phenomenon after the nail trauma. It may also happen after a wrongly done manicure or procedures using sharp tools. Sometimes the loss of a nail may be caused by a nail fungus infection, psoriasis, thyroid hyperfunction, alergic reaction to medicine.

Although nail fungus infection and psoriasis are the most frequent reasons of nail changes, the exact diagnosis is ascertained after the visit with dermatologist who will run the necessary tests and select the most suitable methods of treatment.