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Psoriasis Club › HealthHealth Boards › Psoriasis And Psoriatic Arthritis Topics v
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Nails (or what's left of them)

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Nails (or what's left of them)
River60 Offline
Skin Like a Dragon


Posts: 83
Threads: 6
Joined: Jan 2017
Gender: Female
Location: Nova Scotia
Psoriasis Score: 48
Psoriatic Arthritis Score: 11
Treatment: Stelara
#1
Mon-16-01-2017, 15:48 PM
Could anyone advise me of what I can expect with my nails?  I'm in sad shape.  I have three toenails left and only one baby fingernail not affected.  

I've lost most completely and in their place are thick plaques.  In time (when this ever does go into remission) will those plaques simple fall off or will the nails grow out and push them off gradually?  The words ugly just don't seem to describe them enough.  

Any tips on getting them smoother.  I find the feel of even emery boards really awful.  I do keep them well treated with the Dovobet and moisturizers but I was wondering there were any other suggestions some of you may have.

May the God of Skin production bless us all with starvation.  Smile
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Fred Offline
I Wanted To Change the World But Got Up Far Too Late.
Moderator
Posts: 66,958
Threads: 3,888
Joined: Aug 2011
Gender: Male
Location: France
Psoriatic Arthritis Score: 1
PQOLS: 1
Treatment: Bimzelx / Coconut Oil
#2
Mon-16-01-2017, 15:56 PM
My toenails used to be a hell of a mess always coming away from their beds, but now I'm pleased to say they are ok again apart from a few lines. Also my finger nails have grown back to almost normal, though they do remain very brittle. I do keep them short, so I'm not sure what you could do if you want long ones.

But yes once you start getting the psoriasis sorted they should come back as they are always renewing.

84
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River60 Offline Author
Skin Like a Dragon


Posts: 83
Threads: 6
Joined: Jan 2017
Gender: Female
Location: Nova Scotia
Psoriasis Score: 48
Psoriatic Arthritis Score: 11
Treatment: Stelara
#3
Mon-16-01-2017, 16:28 PM
Thanks Fred.  Just to confirm though did the plaques just eventually come off or did the new nail push them off?  

My vanity is pretty much gone so I don't care if they ever get long.  Truth is I'm a gardener so I always kept them cut short because I couldn't seem to pass by a weed without going in deep to pull it out.  snicker
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jiml Offline
100 + Member I Just Cant Stop !

100 + Member I Just Cant Stop !
Posts: 47,972
Threads: 357
Joined: Oct 2013
Gender: Male
Location: Norwich England
Psoriasis Score: 3
Treatment: Skilarence 5x120mg a day
#4
Mon-16-01-2017, 17:00 PM
I think probably the only way to clear them will be with a systemic treatment, as creams and light are unlikely to have any lasting effect on nails......at least that was my experience
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Fred Offline
I Wanted To Change the World But Got Up Far Too Late.
Moderator
Posts: 66,958
Threads: 3,888
Joined: Aug 2011
Gender: Male
Location: France
Psoriatic Arthritis Score: 1
PQOLS: 1
Treatment: Bimzelx / Coconut Oil
#5
Mon-16-01-2017, 17:21 PM
(Mon-16-01-2017, 16:28 PM)River60 Wrote: Thanks Fred.  Just to confirm though did the plaques just eventually come off or did the new nail push them off?  

The flakiness started coming off as the nails started growing again, It was a while ago now but I think the flakes started going on their own first. used to soak my feet often warm water and sea salt for about an hour to help things along. (I just used a basic sea salt from the supermarket that you use for food)

But like Jim said it wasn't till I went on the Bio's that my nails started to get sorted.
Quote
River60 Offline Author
Skin Like a Dragon


Posts: 83
Threads: 6
Joined: Jan 2017
Gender: Female
Location: Nova Scotia
Psoriasis Score: 48
Psoriatic Arthritis Score: 11
Treatment: Stelara
#6
Mon-16-01-2017, 17:23 PM
(Mon-16-01-2017, 17:00 PM)jiml Wrote: I think probably the only way to clear them will be with a systemic treatment,  as creams and light are unlikely to have any lasting effect on nails......at least that was my experience

Yeah, problem is that until they can figure why my liver numbers are out of whack I can't take any oral drugs.  I understand there is not much they can do with nails with creams, light etc my question was more in the way of coping or the evolution of the nails as the condition goes into remission.  

Again, do the plaques fall off or are they pushed off by the incoming nail?    

Thank you for taking the time to respond.  You are all ever so kind.
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River60 Offline Author
Skin Like a Dragon


Posts: 83
Threads: 6
Joined: Jan 2017
Gender: Female
Location: Nova Scotia
Psoriasis Score: 48
Psoriatic Arthritis Score: 11
Treatment: Stelara
#7
Mon-16-01-2017, 17:33 PM
(Mon-16-01-2017, 17:21 PM)Fred Wrote:
(Mon-16-01-2017, 16:28 PM)River60 Wrote: Thanks Fred.  Just to confirm though did the plaques just eventually come off or did the new nail push them off?  

The flakiness started coming off as the nails started growing again, It was a while ago now but I think the flakes started going on their own first. used to soak my feet often warm water and sea salt for about an hour to help things along. (I just used a basic sea salt from the supermarket that you use for food)

But like Jim said it wasn't till I went on the Bio's that my nails started to get sorted.

O/K, that sounds like something I can live with.  I had this horrible picture in my mind of this huge thing falling off and a gapping hole at the end of each toe.  I have a vivid imagination... snort.
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jiml Offline
100 + Member I Just Cant Stop !

100 + Member I Just Cant Stop !
Posts: 47,972
Threads: 357
Joined: Oct 2013
Gender: Male
Location: Norwich England
Psoriasis Score: 3
Treatment: Skilarence 5x120mg a day
#8
Mon-16-01-2017, 17:38 PM
Sorry I misunderstood Confused I never lost any nails to psoriasis mine are all striated and my thumb nails are split, so I keep them very short so the split nails don't cause me problems Thumb
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Fred Offline
I Wanted To Change the World But Got Up Far Too Late.
Moderator
Posts: 66,958
Threads: 3,888
Joined: Aug 2011
Gender: Male
Location: France
Psoriatic Arthritis Score: 1
PQOLS: 1
Treatment: Bimzelx / Coconut Oil
#9
Mon-16-01-2017, 17:45 PM
Mine just lifted from the bed and sort of died, the new growth pushed them along and I just kept cutting them short with clippers after softening them.
Quote
River60 Offline Author
Skin Like a Dragon


Posts: 83
Threads: 6
Joined: Jan 2017
Gender: Female
Location: Nova Scotia
Psoriasis Score: 48
Psoriatic Arthritis Score: 11
Treatment: Stelara
#10
Mon-16-01-2017, 17:49 PM
(Mon-16-01-2017, 17:38 PM)jiml Wrote: Sorry I misunderstood  Confused I never lost any nails to psoriasis mine are all striated and my thumb nails are split, so I keep them very short so the split nails don't cause me problems  Thumb

Not to worry Jim, it's not easy no matter what form this horror takes.
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