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The Hidden Connection Between Psoriatic Arthritis and Nail Health

If you’re one of the 8 million people in the United States living with psoriasis, you may be at risk of developing psoriatic arthritis (PsA), a chronic disease that can cause pain, stiffness, and swelling in the joints and areas where tendons and ligaments connect to bone. But did you know that PsA can also affect your nail health?

Nail Symptoms of Psoriatic Arthritis

Up to 80% of people with PsA experience nail problems, which can include:

• Pitting or small holes in the nail surface
• Discolored patches, often red, pink, or orange
• White spots or patches
• Brittle, broken nails
• Separation of the nail from the nail bed
• Buildup of skin cells under the nail
• Blood spots under the nails
• Bacterial and fungal infections

Why PsA Affects Nail Health

While the exact reason why PsA affects nail health is still unclear, research suggests that the inflammatory response triggered by PsA can lead to changes in the nail matrix, causing ridges, lines, dots, and separation.

Treating PsA Nail Symptoms

Fortunately, there are various treatment options available to help manage PsA nail symptoms. These include:

• Topical creams and ointments to reduce inflammation and slow down cell turnover
• Steroid injections to relieve inflammation in specific joints
• Phototherapy to slow down skin cell growth
• Medications such as disease-modifying antirheumatic drugs (DMARDs) and biologics to reduce inflammation and prevent permanent damage
• Home remedies like gentle exercise, a balanced diet, and over-the-counter pain relievers

Preventing PsA Nail Problems

While it’s not possible to completely prevent PsA nail problems, there are steps you can take to minimize the effects:

• Keep your nails short to reduce the risk of damage and injury
• Wear gloves to protect your hands from harsh chemicals and irritation
• Avoid biting or cutting your nails, as this can cause damage and increase the risk of infection
• Choose unscented, natural products to reduce the risk of adverse reactions

When to See a Doctor

If you notice any unusual changes in your nail health, it’s essential to consult with a healthcare professional. Early detection and treatment can help prevent further damage and reduce the risk of complications.

Takeaway

PsA is a complex condition that can affect not only your joints but also your nail health. By understanding the connection between PsA and nail health, you can take steps to manage your symptoms and improve your overall well-being. Remember to work closely with your doctor to find the right treatment plan for you.