Nail Psoriasis
Affecting finger and toe nails with pitting, discolouration, thickening and separation from the nail bed; it responds slowly and calls for patience and steady care.
Clinic and treatment images
Tap to enlargeDo you recognise these signs?
If one or more of these applies to you, we recommend a dermatological assessment.
- Small pinpoint depressions in the nail plate, like the surface of a thimble
- Separation of the nail from its bed with a white-yellow zone beneath (onycholysis)
- Thickening and debris building up beneath the nail (subungual hyperkeratosis)
- Oil-drop patches, ridging and brittle nails with distorted, misshapen edges
Causes and triggers
- The psoriatic immune process affecting the nail matrix and the nail bed
- Genetic susceptibility and a frequent link with psoriatic joint involvement
- Trauma, manicure and occupational strain on the nail that worsen the signs
- A co-existing fungal infection that can both aggravate and mimic the picture
How we treat it
Clarifying the fungal differential and keeping nail trauma to a minimum
Following early, limited disease patiently on cortisone-free topicals over months
Considering matrix-directed intralesional treatment for a single resistant nail
Moving to systemic or biologic therapy for widespread or joint-linked disease
Why Clinovia?
Psoriasis and eczema are not only a surface problem. We assess the skin barrier, inflammation, nutrition and lifestyle, comorbidities and dermatological treatment together. Evidence-based dermatology remains the backbone; nutrition and lifestyle support that plan.
The Gut–Skin Relationship
We review digestive symptoms, dietary pattern and food-sensitivity history. The link between gut microbiome and inflammatory skin disease is still being researched, so it is addressed alongside — never instead of — dermatological treatment.
Cortisone-Free Protocol
First-line calcineurin and PDE-4 inhibitors, ceramide-based barrier repair and phototherapy instead of steroids; systemic and biologic steps when needed.
Systemic Repair
Vitamin D, zinc, omega-3 and iron levels plus thyroid and insulin resistance are screened, and any deficits found are built into the plan.
Measurable Follow-up
PASI/EASI and DLQI scores are tracked alongside laboratory values; steps that do not deliver a response are removed from the plan.
Because treatment only shows as the nail grows out. Healthy nail takes months to reach the tip, so fingernails need four to six months of follow-up and toenails longer. Patient, continuous care and realistic expectations are the most important part of the treatment.
It can be. Nail involvement is closely associated with psoriatic arthritis and can sometimes be its earliest sign. For this reason patients with nail psoriasis are asked about joint pain, morning stiffness and finger swelling, and a rheumatology review is arranged when needed.
Yes. For infant eczema and paediatric psoriasis we use age-appropriate topical stepping, a moisturising routine and, when indicated, paediatric phototherapy dosing.
Our standard protocols are cortisone-free. We work with topical calcineurin inhibitors, PDE-4 inhibitors, ceramide-based barrier repair, NB-UVB phototherapy and biologic agents when needed. Cortisone is considered only for very short, unavoidable situations and with the patient's consent.
Other conditions
Plaque PsoriasisThe most common form of psoriasis; it presents with well-defined, thickened plaques topped by silvery scale on the elbows, knees and trunk, often with itch.
Learn more
Guttate PsoriasisAn abrupt-onset form that often follows a throat infection, marked by numerous small, teardrop-shaped, lightly scaled plaques scattered across the trunk and arms.
Learn more
Scalp PsoriasisA stubborn form affecting the scalp, hairline and area behind the ears with thick, adherent scale; it often itches and can cause temporary hair shedding.
Learn more
NB-UVB PhototherapyNarrowband UVB at 311 nm calms inflammation in psoriasis and eczema without cortisone. Sessions run two to three times a week, with a typical course of 20–30 and PASI/EASI tracking.
Learn more
Biologic TreatmentsBiologic drugs selectively block targets such as IL-17 and IL-23 in psoriasis and IL-4/13 in eczema. They are considered in moderate-to-severe, resistant disease after screening.
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Systemic TherapySystemic drugs such as methotrexate, cyclosporine and acitretin are used in widespread or resistant psoriasis and eczema, alongside laboratory and safety monitoring.
Learn more
Let's build the right plan for your skin today
Fill in the form and our coordinator will call you the same day to arrange the right doctor and time slot.
- Same-day callback
- Consultation in five languages
- Written treatment plan
- Defterdar, Fethi Çelebi Cd. No:15, 34050 Eyüpsultan/İstanbul, Türkiye
- Mon–Sat: 09:00 – 19:00