Pathogenesis (disease development) The etiology (cause) for psoriasis, and therefore also for nail psoriasis, is unclear to date. It is assumed that the coincidence of various factors is responsible for the development of the disease. These include, in addition to a genetic disposition, triggering factors such as infections, diseases or medications. Streptococcal infections in particular … Nail Psoriasis: Causes
The treatment of nail psoriasis (nail psoriasis) is sometimes very lengthy. It takes about seven to nine months for the nail to completely renew itself. After the end of a treatment, the psoriasis nails usually reappear. There are several treatment options available. Psoriasis of the nails should be treated by the dermatologist – as part … Nail Psoriasis: Therapy
Since psoriasis of the nails occurs in conjunction with the skin disease psoriasis, micronutrient therapy of this underlying disease is also likely to improve psoriasis of the nails. Psoriasis may be associated with the risk of deficiency of the following vital nutrients (micronutrients). Vitamin D Trace element selenium Within the framework of micronutrient medicine (vital … Nail Psoriasis: Micronutrient Therapy
To prevent nail psoriasis (nail psoriasis), attention must be paid to reducing individual risk factors. Behavioral risk factors Consumption of stimulants Alcohol – Excessive alcohol consumption can also trigger a psoriasis flare in some patients Tobacco (smoking) – may also trigger a psoriasis flare in some patients Psycho-social situation Stress Pre-damaged skin – trauma, scratches, … Nail Psoriasis: Prevention
The following symptoms and complaints may indicate nail psoriasis (nail psoriasis): Dimple or spotted nails – pinhead-sized retractions, filled with scales. Oil stains – yellowish discoloration due to lesions in the nail bed. Longitudinal brownish streaks – splinter hemorrhages. Transverse or longitudinal grooves Nail dystrophy – psoriatic crumbling nails – completely destroyed nail plate. Onycholysis … Nail Psoriasis: Symptoms, Complaints, Signs
The anamnesis (medical history) represents an important component in the diagnosis of nail psoriasis (nail psoriasis). Family history Are there frequent skin/nail diseases in your family? Social history What is your profession? Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and psychological complaints). Have … Nail Psoriasis: Medical History
Congenital malformations, deformities, and chromosomal abnormalities (Q00-Q99). Congenital heart defects, unspecified Respiratory system (J00-J99) Asbestosis – lung disease belonging to the pneumoconioses (dust lung diseases), said to result from inhaled asbestos dust. Bronchiectasis (synonym: bronchiectasis) – permanently existing irreversible saccular or cylindrical dilatation of the bronchi (medium-sized airways), which may be congenital or acquired; symptoms: … Nail Psoriasis: Or something else? Differential Diagnosis
The following are the most important diseases or complications that can be caused by nail psoriasis (nail psoriasis) as well: Psyche – Nervous system (F00-F99; G00-G99). Alcohol dependence Drug addiction Resignation Social isolation Musculoskeletal system and connective tissue (M00-M99) Movement restrictions due to joint pain
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing). Nails Dimple or spotted nails (pinhead-sized retractions, filled with scales). Oil stains (yellowish discolorations). Longitudinal, brownish streaks (splinter hemorrhages). Transverse or longitudinal grooves Nail dystrophy (psoriatic crumbling nails – … Nail Psoriasis: Examination
2nd order laboratory parameters – depending on the results of the medical history, physical examination, etc. – for differential diagnostic clarification Small blood count Fasting glucose (fasting blood glucose) Thyroid parameters – TSH, fT3, fT4 Liver parameters – alanine aminotransferase (ALT, GPT), aspartate aminotransferase (AST, GOT), glutamate dehydrogenase (GLDH) and gamma-glutamyl transferase (gamma-GT, GGT); alkaline … Nail Psoriasis: Test and Diagnosis
Therapy target Improvement of the symptomatology Therapy recommendations The therapeutic approach to psoriasis is classic dermatologic: it consists of basic therapy, topical (local) therapy, and systemic treatment: All severities of psoriasis receive basic therapy: Topical therapy: Body (psoriasis) Oil or salt water baths, 2 times initially, then 1 time daily (15-20 min each time), depending … Nail Psoriasis: Drug Therapy
Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnosticsand obligatory medical device diagnostics – for differential diagnostic clarification. X-rays of the affected joints – if arthritis (joint inflammation) is suspected.