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Nail Psoriasis vs. Fungus: How to Tell the Difference

When it comes to nail health, it’s crucial to be able to differentiate between nail psoriasis and nail fungus. While both conditions can affect the nails, they require different treatment approaches. Understanding the nuances and identifying the symptoms can help you seek the appropriate care at the right time.

In this article, we’ll delve into the details of nail psoriasis vs fungus, highlighting their symptoms, causes, and available treatments. We’ll also explore the key differences between the two conditions and provide helpful prevention tips for maintaining healthy nails. So let’s get started!


Manicured nails placed on a towel with a plant as a backdrop

 

Understanding Nail Psoriasis

Nail psoriasis is a chronic autoimmune skin condition that affects the nails, often accompanying psoriasis in other parts of the body. It is estimated that up to 50% of people with psoriasis experience nail involvement. The symptoms of nail psoriasis can vary from person to person.

Symptoms of Nail Psoriasis

The signs of nail psoriasis typically include pitting, discoloration, thickening, ridges, and separation of the nails from the nail bed. Additionally, the nails may become brittle, crumbly, or develop an irregular surface. In severe cases, the nails may even detach completely from the nail bed. It’s important to note that nail psoriasis can affect both fingernails and toenails.

Causes and Risk Factors of Nail Psoriasis

The exact cause of nail psoriasis is not fully understood. However, it is believed to be associated with an overactive immune system that mistakenly targets healthy cells in the nails. Genetic factors and family history of psoriasis can also increase the risk of developing nail psoriasis. Other risk factors include smoking, obesity, and certain medications.

Treatment Options for Nail Psoriasis

Nail psoriasis can be challenging to treat, but there are various options available. Topical treatments, such as corticosteroid creams or ointments, may be prescribed to reduce inflammation and promote nail regrowth. Other treatment approaches include phototherapy, which involves exposing the nails to ultraviolet light, and systemic medications, such as biologics or retinoids, which work to suppress the immune system’s response. Nail psoriasis may also respond to laser therapy. In severe cases where the nails are significantly damaged, surgical intervention may be necessary.

Living with nail psoriasis can be emotionally and physically challenging. The visible symptoms, such as discolored and pitted nails, can cause self-consciousness and affect a person’s self-esteem. It’s important for individuals with nail psoriasis to seek support from healthcare professionals like dermatologists or podiatrists (depending on which nails are affected), as well as from friends and family.

In addition to medical treatments, there are also self-care strategies that can help manage nail psoriasis. Keeping the nails trimmed and filed can prevent them from catching on clothing or objects, reducing the risk of further damage. Moisturizing the nails and cuticles regularly can also help improve their appearance and prevent them from becoming dry and brittle.

Furthermore, adopting a healthy lifestyle can have a positive impact on nail psoriasis. Eating a balanced, low glycemic diet rich in fruits, vegetables, and omega-3 fatty acids can support overall skin health. Avoid gluten, alcohol, and tobacco. Engaging in stress-reducing activities, such as yoga or meditation, can also help manage the symptoms of nail psoriasis, as stress can exacerbate autoimmune conditions.

Unraveling Nail Fungus

Nail fungus, also known as onychomycosis, is a common fungal infection that affects the nails. It is estimated that approximately 10% of the general population suffers with nail fungus. The symptoms of nail fungus can vary in intensity and may progress slowly over time.

When it comes to identifying nail fungus, there are a few key symptoms to watch out for. The most common signs include thickened nails, discoloration (usually yellow or brown), brittle or crumbly nails, distorted nail shape, and a foul odor. In some cases, the nails may even become detached from the nail bed. It’s important to note that nail fungus tends to affect toenails more frequently than fingernails.

So, what causes nail fungus in the first place? The main culprit is an overgrowth of fungi, such as dermatophytes, on or under the nails. This infection usually spreads from the surrounding skin. These pesky fungi thrive in warm and moist environments, which is why places like public swimming pools, gyms, or communal showers are common sources of infection. However, it’s not just the environment that plays a role. Several risk factors can increase your chances of developing nail fungus, including aging, diabetes, poor circulation, a weakened immune system, and trauma to the nails.

When it comes to treating nail fungus, patience is key. The chosen treatment method will depend on the severity of the infection. For mild cases, over-the-counter antifungal creams, ointments, or nail lacquers may be recommended. These products work by targeting the fungi directly and inhibiting their growth. However, for more severe infections, prescription oral antifungal medications may be necessary.

Medications such as terbinafine or itraconazole are commonly prescribed to combat stubborn nail fungus. In some situations, your healthcare provider may suggest a combination of treatments or procedures, including laser therapy or surgical nail removal, to effectively eliminate the infection.

Remember, nail fungus can be a stubborn condition, but with the right treatment and a little patience, you can regain healthy and beautiful nails. If you suspect you have nail fungus, it’s always best to consult with a healthcare professional who can provide an accurate diagnosis and recommend the most appropriate treatment plan for you.

Key Differences Between Nail Psoriasis vs Fungus

While nail psoriasis and fungus may share similar symptoms, several key differences can help distinguish between the two conditions.

Understanding these differences is crucial for accurate diagnosis and effective treatment.

Comparing Symptoms

One of the main differences is the nature of the nail changes. Nail psoriasis often presents with pitting, ridges, and nail bed separation, whereas nail fungus commonly causes thickened, discolored nails. Additionally, nail psoriasis tends to affect multiple nails simultaneously, while nail fungus may initially start in one nail and spread gradually. A person with nail psoriasis may also have psoriasis lesions on other parts of the body.

It is important to note that accurate diagnosis by a healthcare professional is essential, as the symptoms of nail psoriasis and fungus can sometimes overlap.

Contrasting Causes and Risk Factors

The underlying causes of nail psoriasis and fungus are different. Nail psoriasis is an autoimmune condition, whereas a fungal infection causes nail fungus. While both conditions can be influenced by genetics, nail fungus is primarily associated with exposure to fungi in the environment.

Understanding the root cause of the nail condition is crucial for determining the most effective treatment plan.

Treatment Approach: Nail Psoriasis vs. Fungus

Another distinction lies in the treatment approach. Nail psoriasis requires management of the underlying autoimmune condition. Treatment often involves topical or systemic medications aimed at reducing inflammation and regulating the immune response. Nail fungus, on the other hand, is treated with antifungal medications that target the fungi responsible for the infection.

It is important to consult with a healthcare provider to determine the most appropriate treatment plan based on the specific diagnosis.


Nails trimmed by nailcutter

 

Prevention Tips for Nail Psoriasis and Fungus

Maintaining healthy nails is crucial in preventing both nail psoriasis and fungus. Here are some tips to keep your nails in optimal condition:

Daily Habits for Healthy Nails

  • Keep your nails clean and dry.
  • Trim your nails regularly.
  • Avoid biting or picking at your nails.
  • Wear breathable footwear and alternate shoes to allow them to dry out.
  • Avoid walking barefoot in public places where fungi may thrive.
  • Use protective gloves when working with water or chemicals.

Additionally, incorporating a balanced diet rich in essential nutrients like biotin, vitamin E, and omega-3 fatty acids can promote nail health. Foods such as eggs, nuts, seeds, and leafy greens can provide the necessary vitamins and minerals to support strong and healthy nails.

Furthermore, staying hydrated is key to maintaining nail moisture and preventing brittleness. Drinking an adequate amount of water each day can help keep your nails hydrated and less prone to breakage.

When to Seek Medical Help

If you notice persistent nail changes, such as pitting, discoloration, ridges, or detachment, it’s essential to seek medical help. A healthcare professional can accurately diagnose the condition and recommend the appropriate course of treatment.

In addition to professional medical advice, incorporating relaxation techniques like yoga or meditation can help reduce stress levels, which can impact nail health. High levels of stress can weaken the immune system, making the body more susceptible to conditions like nail psoriasis and fungus.

 

Remember, regardless if it’s nail psoriasis vs fungus,  maintaining overall health and well-being through a holistic approach, including proper nail care, nutrition, hydration, and stress management, is key to preventing nail issues and promoting optimal nail health. Allow Find A Black Doctor to assist you in finding the right board-certified medical professional for you today!