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The Nail Psoriasis Severity Index (NAPSI) is a numeric, reproducible, objective, simple tool for evaluation of nail psoriasis. [4] It evaluates several signs separately, each on a 1–3 scale: pitting, Beau's lines, subungual hyperkeratosis and onycholysis.
Nail clubbing - nails that curve down around the fingertips with nailbeds that bulge is associated with oxygen deprivation and lung, heart, or liver disease. Koilonychia - spooning, or nails that grow upwards. Associated with iron-deficiency anaemia or vitamin B 12 deficiency. [citation needed] Pitting of the nails is associated with psoriasis.
Nail pitting often accompanies distal interphalangeal joint involvement and may be essential in differentiating psoriatic arthritis from other diseases. [6] Psoriasis can also cause damage to the nails, such as pitting or separation from the nail bed, [5] onycholysis, hyperkeratosis under the nails, and horizontal ridging. [9]
Nail pitting. Itching or tenderness on the scalp. Gray or white hairs in the affected area. According to the American Academy of Dermatology, ...
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Psoriasis of a fingernail, with visible pitting Effect of psoriasis on the toenails. Psoriasis can affect the nails and produces a variety of changes in the appearance of fingers and toenails. Nail psoriasis occurs in 40–45% of people with psoriasis affecting the skin, and has a lifetime incidence of 80–90% in those with psoriatic arthritis ...
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Parakeratosis pustulosa is most commonly seen in children as an eczematoid eruption near the free margin of the nail that extends to the dorsal nail fold. Under the free margin of the nail, hyperkeratosis causes the nail plate to pull up and results in a deformity that resembles a gaping toecap separated from the sole at the seam. Pitting and ...
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