Symptoms of psoriatic arthritis nails
Symptoms of psoriatic arthritis nails Psoriatic arthritis is a chronic autoimmune condition that affects some individuals with psoriasis, leading to joint inflammation, pain, and swelling. While many are familiar with the typical symptoms like joint stiffness and swelling, the impact on nails is equally significant and can serve as an important indicator of the disease. Recognizing the nail-related symptoms of psoriatic arthritis can facilitate earlier diagnosis and management, ultimately improving quality of life.
Nail changes are common in psoriatic arthritis, affecting up to 80% of patients with psoriatic skin lesions. These changes often reflect the underlying inflammation and immune activity targeting the nail unit, which includes the nail plate, nail bed, and surrounding tissues. One of the hallmark nail symptoms is pitting, characterized by small depressions or holes on the surface of the nail. These pits result from defective keratinization in the nail matrix, where new nail cells are produced.
Symptoms of psoriatic arthritis nails Another frequent nail manifestation is onycholysis, which involves the separation of the nail plate from the nail bed starting at the tip or sides. This detachment can cause the nail to appear lifted, often accompanied by debris accumulating underneath, leading to secondary infections if not properly managed. Subungual hyperkeratosis, or thickening of the tissue beneath the nail, can cause the nail to appear thickened or crumbly, sometimes resembling a fungal infection. These changes can be distressing and often mistaken for fungal nails, but their presence alongside other psoriatic symptoms can help distinguish the cause.
Symptoms of psoriatic arthritis nails Onychorrhexis, or longitudinal ridging and splitting, is another common symptom seen in psoriatic nails. The ridges may run from the base to the tip of the nail, making it fragile and prone to breaking. These ridges reflect disrupted keratin development within the nail plate. Sometimes, nail dystrophy manifests as uneven thickening or crumbling of the nail, leading to an overall appearance of deformity.
Symptoms of psoriatic arthritis nails Color changes are also noteworthy. Leukonychia, or white spots or streaks within the nail, may appear due to disrupted nail matrix activity. Sometimes, small hemorrhages under the nail, described as splinter hemorrhages, can occur as a result of inflammation of the blood vessels in the nail bed. These tiny, linear blood spots resemble splinters under the nail and are characteristic of various inflammatory conditions, including psoriatic arthritis.
The presence of nail symptoms often correlates with the severity of joint involvement. Patients with nail psoriasis are more likely to develop psoriatic arthritis, and nail changes can serve as a warning sign for potential joint issues. Therefore, recognizing these nail symptoms early is crucial for prompt diagnosis and comprehensive treatment planning. Symptoms of psoriatic arthritis nails
In conclusion, nail symptoms such as pitting, onycholysis, hyperkeratosis, ridging, and color changes are key indicators of psoriatic arthritis affecting the nails. These manifestations not only impact cosmetic appearance but can also signal underlying joint disease. If you notice persistent changes in your nails alongside other psoriasis symptoms or joint pain, consulting a healthcare professional specializing in rheumatology or dermatology is essential for accurate diagnosis and effective management. Symptoms of psoriatic arthritis nails
