![psoriasis-in-nails](http://www.skinandyou.in/wp-content/uploads/2015/10/psoriasis-in-nails.jpg)
IN PSORIASIS
Psoriasis can affect fingernails and toenails in 25% of cases.
The signs for this are
- Abnormalities include nail pitting
- Transverse furrows
- Crumbling nail plate
- Roughened nails
- Nail bed shows ‘oil spot’, distal onycholysis, distal subungual hyperkeratosis
- Splinter haemorrhages and false nail following spontaneous separation of nail plate.
![lichen-planus-nails](http://www.skinandyou.in/wp-content/uploads/2015/10/lichen-planus-nails.jpg)
IN LICHEN PLANUS
Changes seen are
- Thinning, brittleness, crumbling of the nail with accentuated surface longitudinal ridging.
- Colour change to black or white.
- Chronic inflammation causes either partial or complete loss of nail plate and formation of pterygium with partial loss of central nail plate seen as distal notch or completely split nail.
- Involvement of nail bed causes onycholysis, distal subungual hyperkeratosis, formation of bulla or permanent loss of nail.
![nails in alopecia](http://www.skinandyou.in/wp-content/uploads/2015/10/nails-in-alopecia.jpg)
IN ALOPECIA AREATA
Apart from patchy hair loss, individual can have associated nail changes. These are:
- Superficial nail pitting.
- Brittle nails with vertical ridges
- Koilonychia: spoon like curvature of nails
- Separation of distal part of nail plate from nail bed
Diagnosis
Depending on duration , various causes, symptoms, appearance, any co-existing medical illness or skin disease, medications history, occupational details, diagnosis is made and if any underlying condition is present it is addressed immediately.
Treatment at Skin & You Clinic
Based on causative factors it can be combination of oral and topical treatment – such as topical and oral antifungals, topical and oral antibiotic, nail supplements, or steroid based injection to control the progression of disease such as in cases of psoriasis.
Why Skin & You Clinic for Nails Infections?
We, at Skin & You Clinic, assess, examine and treat all dermatological conditions with utmost care.