In rare cases, you may opt to have them removed through surgery so that the nail tissue can regrow. The clinical manifestations are protean and depend upon the portion of the nail unit affected. The nail acts as a record of certain illnesses with the longitudinal axis serving as a timeline. The nail may split or break in addition to the spots if this is the case. This results in small pits forming on your fingernails or toenails. We include products we think are useful for our readers. A diagnosis of psoriasis was made. It can create an itchy rash and may be caused by deodorant ingredients, such as…, Although often a sign of natural aging, sunken cheeks could be the result of other factors, including illness, diet, or personal habits. Auburn Nails offers a full manicure/pedicures nail services including nail polish, acrylic nails, shellac, etc. The second change is Onycholysis. Yellow nail syndrome Medical name: Yellow nail syndrome Yellow nails Wearing red nail polish without a base coat or smoking can turn your nails yellow. Juan A. Moreno-Romero, M.D. This finding, which defines clubbing, is the obliteration of the normal diamond … ← Nail psoriasis pictures Psoriasis nail pitting pictures Severe nail psoriasis pictures Nail psoriasis pictures and treatments Nails with psoriasis are affected in a very serious way, up to the complete destruction of the nail plate. Nail psoriasis vs. fungus. Come see for yourself why Auburn Nails has … Ridges in fingernails. Spoon nails (koilonychia) are soft nails that look scooped out. J Am . This will help prevent nail separation. It is due to psoriasis in the proximal nail matrix. References Crowley JJ, Weinberg JM, et al. With that said, nail psoriasis is the scaling of toenails and fingernails. Just avoid fake nails, which may increase the risk of your nail separating from its bed. The system breaks down food, extracts nutrients…. It’s not unusual to have problems with your nails. Nurse . Psoriasis can cause lines called Beau’s lines to form across your nails. Psoriasis of the nails. It is due to psoriasis in the proximal nail matrix. You may not be able to prevent pitting in your nails, but you can reduce your risk for worsened symptoms. Alopecia areata, nails.Pitting in organized transverse rows giving the nail a "hammered brass" appearance. Read on for tips on what ingredients to watch out…, Joni Kazantizis' personal story of pregnancy and being a mother of two while managing psoriasis. Nail pitting can also be associated with other conditions, including connective tissue disorders, alopecia areata , and sarcoidosis . The position of any nail deformity, like Beau’s lines, may indicate the time of an illness. Immunosuppressant medications, such as cyclosporine (Neoral) and methotrexate (Trexall), are also options. Onycholysis - the nail separates from the skin underneath the nail. Nail lifting up. Doctors aren’t sure why this happens to some people and not others. (The nail bed could be discolored). - Spoon Nails (Koilonychia) - Pitting of Nails - Beau's Lines - Nail Clubbing - Thickening and Discoloration - Leukonychia (white spots) #Diagnosis #Fingernail #Disorders #Differential #Irregularities #Beaus #Lines #Koilonychia … 8. The most vulnerable areas are the scalp, knees, elbows, and nails. Psoriasis is a chronic condition that tends to flare up at different times of your life for different reasons. Various nail disorders (images 68-72) Nail cosmetic dystrophy - from, eg artificial nails, can cause onycholysis, ridging, sepsis and marked atrophy; Nail biting - the nails are typically short, with up to 50% of the nail bed exposed. The nail matrix gives rise to the nail … It leaves an empty space under your nail. A 28-year-old man was diagnosed with psoriasis after going to the doctor for nail pitting. In the United States, over 3% of people have psoriasis. The hands of the doctor in gloves examine the damage to the nail. Nail problems aren't usually caused by anything serious. There are also certain things that you can do to avoid triggers: Last medically reviewed on March 23, 2017, The human digestive system is the means by which tissues and organs receive nutrients to function. Leukonychia (areas of white on the nail plate) is due to parakeratosis within the body of the nail plate and is due to psoriasis in the mid-matrix. Assoc. If a nail starts to lift up so that it’s no longer completely … In some cases, this treatment isn’t always effective. The type of laser used in nail psoriasis is called the pulsed dye laser (PDL). It is also more common in people who are over age 40. Ridges, Pitting and Curved Nails Normal Lines and Ridges on the Nails Your doctor will likely take the sample after applying a local anesthetic, so this procedure shouldn’t hurt. Nail Psoriasis With Pitting and Discoloration. Nail pitting It can sometimes be seen in nail bed 'oil spot', distal onycholysis, distal subungual hyperkeratosis, splinter haemorrhages and false nail following spontaneous separation of nail plate. However, there are several foods that may help calm your skin. There’s no one recommended rosacea diet for reducing flare-ups. J Am Acad Dermatol 2013;69(2):249. Isolated on white background A female hand with nail peeling problem on the white background. Nail changes are common in people with psoriasis, a chronic skin condition;. Nail changes are common in people with psoriasis, a chronic skin condition;. Nail pitting may show up as shallow or deep holes in your nails. Recognizing these emotions and getting support to help…. At first this looks like a white or yellow patch at the tip of the nail. All rights reserved. The depression usually is large enough to hold a drop of liquid. A 28-year-old man presented with nail pitting and skin plaques on the extensor surfaces of both elbows and knees. It's normal for nails to: become thicker or break more easily (brittle) as you get older Nail pitting pictures. For utmost sun protection, use your sunscreen before the stated expiration date…, Deodorant allergy is a reaction to antiperspirant or deodorant. If you buy through links on this page, we may earn a small commission. Nail pitting is the most common symptom. One herbal remedy that’s shown benefit for nail psoriasis is indigo naturalis, a Chinese herbal medicine that comes from the same plant used to make blue dye. Illustration of five different nail diseases on the toenails, such as Onychocryptosis, Onychomycosis, Onychogryphosis, Subungual hematoma and Yellow nail syndrome Illustration of six kinds of psoriatic tonails, such as nail pitting, subungual hemorrhage, onychomadesis, trachyonychia, onycholysis and … Systemic (body-wide) drugs like cyclosporine, methotrexate, apremilast (Otezla), and retinoids are available as a liquid or pill or an injectable medication. Mild nail pitting and vertical lines at right thumb of Southeast Asian, Chinese young man. 2017;29(3):157-178. They have become more common in recent years, as some people in the medical…. The pits are formed as your nail forms. Because of this, your doctor may consider corticosteroid injections into your nail beds. If you’re feeling stressed or upset about your diagnosis, discuss these feelings with your doctor. Nail psoriasis causes your nail plate to lose cells. Here’s more about nail pitting, what causes it, and what treatments are available. A person with psoriasis typically has patches of raised, red skin with silvery scales. It looks like a drop of oil under your nail plate, which is where it gets its name: oil-drop spot. Nail Pitting or Pitted Nails Caused Due to Psoriasis: Psoriasis is a kind of skin disorder that changes the life cycle of the cells of the skin. Diseases and conditions of the skin, hair, scalp and nails can be unsightly and painful. Abnormalities include nail pits, transverse furrows, crumbling nail plate, roughened nails. Nail problems aren't usually caused by anything serious. They can provide guidance and other resources for support. Nail psoriasis can cause several different symptoms. Psoriasis can also affect the fingernails and toenails, leading to thick fingerna… Avoid cleaning your nails with a nail brush or a sharp object. ← Nail psoriasis pictures Psoriasis nail pitting pictures Severe nail psoriasis pictures Nail psoriasis pictures and treatments Nails with psoriasis are affected in a very serious way, up to the complete destruction of the nail plate. Nails grow at a rate of approximately 0.1 mm/day or about 1 centimeter every 3 months. Alopecia areata, nails. Learn more: Is it nail psoriasis or a nail fungus? The nail unit is composed of the nail plate, the nail bed, the hyponychium, the nail matrix, the nail folds, the cuticle, the anchoring portion of the nail bed, and the distal phalangeal bones (see the images below). RESOURCES 3D Models ... Nail Psoriasis With Pitting and Discoloration. The number of pits varies from person to person. Pitting in organized transverse rows giving the nail a "hammered brass" appearance. You might see a yellow-red patch in the nail bed. If you’re diagnosed with nail psoriasis, the outlook varies. Inverse psoriasis. JAMA Dermatol. This condition causes your body to produce too many skin cells. Also, avoid any nail cosmetics and nail procedures (manicures) if you see that you have soft nails. Then, you’re exposed to UVA light. Sometimes your nail can separate from the nail bed, which is the skin underneath the nail plate. Back To TOC. Pink or oily patches: The skin underneath the nail may develop discolored, pink patches. If your nails are loose, they may rub off or get more damaged. 2015 Jan;151(1):87-94.Dogra A, Arora AK. Another option is to use phototherapy or light therapy on the affected nails. Alopecia areata, nails. It can also appear as a chalky, white, patchy invasion of the whole nail plate. Psoriasis is a common chronic skin condition. Moisturizers don’t treat nail psoriasis, but they can relieve itching and redness and help the skin around your nails heal. The most comprehensive image search on the web. In addition to pitting, you might notice other changes in the texture of your nails. Your fingernails can reveal a lot about the state of your health. Schamroth sign. These skin changes usually occur on the elbows, knees, scalp, and trunk. In some cases, random indents appear in the nail. For nail psoriasis, the treatment is called PUVA. The photo on the left shows thickening and crumbling of the nail of the great toe. Abnormalities include nail pits, transverse furrows, crumbling nail plate, roughened nails. Pitting in organized transverse rows giving the nail a "hammered brass" appearance. The color will eventually go all the way down to the cuticle. The position of any nail deformity, like Beau’s lines, may indicate the time of an illness. It is often linked to psoriasis but can indicate a number of conditions. Clip your nails as short as you can. It can happen for a number of reasons and is often related to nail psoriasis. Previous Next 2 of 7 Nail clubbing. Findings may include pitting, Beau's lines (transverse lines in the nail caused by intermittent growth arrest), salmon patches, subungual hyperkeratosis, onycholysis, nail plate crumbling, splinter hemorrhages, and a … Doctors' Circle - World's Largest Health Platform 4,235 views. Pract. The nail plate is the largest component of the nail unit. Nails grow at a rate of approximately 0.1 mm/day or about 1 centimeter every 3 months. At first this looks like a white or yellow patch at the tip of the nail. Find out more about psoriasis symptoms and the patient's treatment. Psoriasis can affect fingernails and toenails, causing pitting, abnormal nail growth and discoloration. A 28-year-old man was diagnosed with psoriasis after going to the doctor for nail pitting. In addition to medication, try these tips for preventing flares: If you feel self-conscious about your nail psoriasis, there are some things you can do to make it less noticeable. Nail psoriasis images, . In most cases, the diagnosis can … There are a few other causes of nail pitting that are not related to psoriasis. Laser therapy may be helpful for nail psoriasis. The nail plate is the hard surface that forms the top of your nails. Medical name: Onycholysis. Powdered vitamin C is thought to be more stable than other forms of vitamin C. Here’s how it works and when you may want to use it. There may be one pit or many pits on the surface of a single nail. 2015 Jan;151(1):87-94.Dogra A, Arora AK. Between 5 and 10 percent of people who have nail psoriasis will not have any other symptoms. Groin and/or other intertriginous areas (eg, under breasts, in abdominal skin folds) Young M, et al. Shiny, erythematous plaques with minimal scaling. The free edge may be even or ragged. What Causes Some Men to Have Dry, Brittle Hair and How to Treat It, Debra Sullivan, Ph.D., MSN, R.N., CNE, COI. Thousands of new, high-quality pictures added every day. If you’ve already been diagnosed, make an appointment with your doctor if: Last medically reviewed on April 13, 2020, Psoriasis is a skin condition that can differ in type and severity. 12 Possible Causes, The Best Soaps and Shampoos for Psoriasis, The Pandemic Has Isolated Many People Living with Chronic Illnesses. The nail can also be infected from the cuticle outward which is less common and may appear more whitish. It works by targeting blood vessels under the skin with a beam of light, and it appears to reduce the severity of nail psoriasis. Images Images used with permission of the Journal of the American Academy of Dermatology. Thousands of new, high-quality pictures added every day. Often, spoon nails are a sign of iron deficiency anemia or a liver condition known as hemochromatosis, in which your body absorbs too much iron from the food you eat. Psoriasis simply refers to a long-term disorder that is associated with the scaling of the skin. The nail surface may look uneven. In rare cases, the nails are the only parts of the body that show signs of psoriasis. This is the most prevailing form of psoriasis. It's normal for nails to: become thicker or break more easily (brittle) as you get older Google Images. They work throughout the body to clear both the skin and nails and are meant for moderate-to-severe psoriasis. At this stage, the nail separates from the nail bed, developing a gap. Nail psoriasis can be hard to treat because psoriasis affects the nail as it grows. Pitting is a sign of partial loss of cells from the surface of the nail plate. However, they typically aren’t recommended if you only have nail pitting. Nail pitting is caused by defective development of the layers of the superficial nail plate. The extra cells build up on your skin, forming scaly red or silvery white patches, sores, or blisters. The color of your nail may also change. This includes trauma to your hands and feet. The nail may appear to have trapped oil underneath it. The nail surface may look uneven. a phototherapy unit at a clinic or at home. Our website services, content, and products are for informational purposes only. 0:51. Generally psoriasis is a skin condition but it can affect your toenails and fingernails too. Nail pitting is characterized by small indents or depressions on the nail surface. Have you ever noticed little depressions in your fingernails or toenails? Inflammation in your nail matrix (what causes your nails to grow) triggers pitting. A few natural remedies may relieve psoriasis symptoms, including: But, for nail psoriasis, the alternative treatment options are more limited. Nails that are pitted, deformed, or discolored (yellow-brown), or nails that thicken. Pitting and onycholysis are visible on the hand (right), suggesting nail … Oral frenectomies are relatively simple, quick in-office procedures. Treatment of nail pitting and other nail issues is often a long-term process. Common nail problems include brittle, loose nails that may change colour or shape. Can Powdered Vitamin C Improve the Health of Your Facial Skin? You receive these drugs by infusion or injection. In the most severe cases, nail psoriasis can cause your nails to crumble. Learn common reasons why your treatment may not be working and what you can do…, If you have psoriasis, you may be wondering if the soap or shampoo you use will make a difference. Search Bing for all related images Use a moisturizing cream on your nails and cuticles. She tells how she lives well with her chronic illness…, Organizations like the National Multiple Sclerosis Society have found ways to create community, even though many people with chronic illnesses have…, Some foods can help increase your energy levels and maintain your alertness. “Nail psoriasis: The journey so Crumbling nails often turn white. It’s important that you try to avoid triggers that make nail pitting worse. This separation is called onycholysis. First, you soak your hands or take a medication called psoralen. Why Isn’t My Psoriasis Treatment Working? Treatment of nail psoriasis: Best practice recommendations from the Medical Board of the National Psoriasis Foundation. Treatment options include: Topical corticosteroids are a common nail psoriasis treatment. In the early stage the effect is similar to fungal infections ‒ the color of the nail changes and… Click on the image (or right click) to open the source website in a new browser window. Nail pitting can also be related to connective tissue disorders, such as Reiter's syndrome, and alopecia areata — an autoimmune disease that causes hair loss. Around 7.4 million people in the United States have psoriasis. Nails that are pitted, deformed, or discolored (yellow-brown), or nails that thicken. This Org Is Stepping Up, Debra Sullivan, Ph.D., MSN, R.N., CNE, COI, The 3-Day Refresh to Eliminate Fatigue and Bloating After a Blowout Meal, Daniel Bubnis, M.S., NASM-CPT, NASE Level II-CSS, Why the COVID-19 Vaccine Rollout Is So Slow, How Your Diet May Help Reduce Rosacea Flare-Ups, Lung Cancer Anxiety: How to Manage and Cope. Your nails may change over time. Healthline Media does not provide medical advice, diagnosis, or treatment. What is Nail Psoriasis? J Am Acad Dermatol 2013;69(2):249. Click on the image (or right click) to open the source website in a new browser window. They’re available as: You’ll typically apply them once or twice a day. When applied to the nail bed once daily, it improves symptoms like thickening and onycholysis. Nail discoloration : making them look blue, white or yellow, more that they usually are. Some doctors may recommend taking vitamin D3 supplements. Nail clubbing occurs when the tips of the fingers enlarge and the nails curve around the fingertips, usually over the course of years. These images are a random sampling from a Bing search on the term "Nail Pitting." “The most common systemic conditions I see in my practice are psoriasis, which typically will cause pitting of the nails, and hypothyroidism which can cause weak, brittle nails,” explains Norris. Skin care crazes come and go, and it seems that rubbing potatoes on your skin may be one of them. Clubbing How To Identify. Understanding Shoulder Pain and How To Fix It - … This can result in discoloration of the nail, turning it green, yellow, or opaque. Some people may have only a single pit on each nail, while others have dozens of pits. Pitting of the nails shows as punctate depressions in the nail plate. Psoriasis can occur anywhere on your body, including your: About 35 percent of people with psoriasis and around 80 percent of people with psoriatic arthritis, a related joint condition, develop nail changes. Most of the time, you can fix the problem by filing away a rough edge or clipping a hangnail. They may also perform a skin biopsy. It is common in patients with psoriasis and can affect up to 50% of people suffering from this condition. Ways to Use Apple Cider Vinegar for Your Face, Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT, What You Need to Know About Oral Frenectomies, changes to the normal shape (deformation), connective tissue disorders, such as Reiter’s syndrome (a form of, incontinentia pigmenti, a genetic disorder affecting the hair, skin, nails, teeth, and central nervous system. Illustration of five types of nail psoriasis, such as nail pitting… Lung cancer diagnosis and treatment can trigger feelings of anxiety, stress, and depression. Juan A. Moreno-Romero, M.D. There may be one pit or many pits on the surface of a single nail. Our professionally trained staff is here to meet all the needs you deserve. They include: If you notice pitting in your nails, it’s a good idea to visit your doctor. Corticosteroid injections can be helpful for treating symptoms like: Calcipotriol (Calcitreme), calcipotriene (Dovonex), and calcitriol are man-made versions of vitamin D. They help reduce inflammation and slow excess skin cell production. Muehrcke’s lines can indicate kidney disease, liver disease , and forms of malnutrition . Normally, it manifests itself in form of scaly, raised, red patches that are popularly called plaques. Many people with digestive issues suffer from other allergies and may also have an allergic reaction to nail products. It is often linked to psoriasis but can indicate a number of conditions. Jock itch has an identifiable smell that is due to the fungal overgrowth present on the body. Learn all…. Nail psoriasis can cause several different symptoms. The nail surface may look uneven. Here’s what you need to know. Clear yellow-red nail discoloring that looks like a drop of blood or oil under the nail plate: This is known as an oil drop or a salmon patch and is a sign of nail psoriasis. These medications can relieve nail thickness by reducing cell buildup under the nails. 7 Nail Psoriasis Symptoms. Your nails can give a … The nail acts as a record of certain illnesses with the longitudinal axis serving as a timeline. Protecting these areas from injury and trauma (for example, when using the nail as a tool) and from stress (such as straining to open a jar) can help prevent the progression of nail psoriasis and heal the nail, Siegel says. You may experience nail psoriasis with or without other psoriasis symptoms. If you have nail psoriasis, you may first notice a white or yellow patch at the tip of a nail. Pitting: Pitting is the most common nail symptom, affecting about 68 percent of people with psoriasis and nail changes. Common nail problems include brittle, loose nails that may change colour or shape. You should also contact your doctor if you notice thickening of a nail or separation from the nail bed. Nails can also become thicker due to a fungal infection called onychomycosis, which is common in people with psoriasis. Up to 50 percent of people who have psoriasis experience changes in their nails. Pitting: Pitting is the most common nail symptom, affecting about 68 percent of people with psoriasis and nail changes. It can help with: Anthralin is an anti-inflammatory ointment that slows excess skin cell production. The pits can be shallow or deep. Don’t bite or pick at your nails or push back your cuticles. References Crowley JJ, Weinberg JM, et al. They’re typically reserved for psoriasis that hasn’t responded to other treatments. You may think the pitting looks like white spots or other marks. White lines on the nails… Find out more about psoriasis symptoms and the patient's treatment. If your nails turn yellow, thicken, and seem to stop growing, it could be a sign of something going on inside your body. Keep your nails clean to prevent infection. This is called the Koebner phenomenon. All rights reserved. This patch gradually gets bigger and reaches the base of the nail. Nail diseases and disorders. The extra cells build solid, scales like itchy red patches. A diagnosis of psoriasis was made. Pits develop when cells are lost from the nail's surface. This type of treatment has varied results. Mee’s lines are a rare form of fingernail ridge and are normally an indicator of arsenic poisoning ; unlike Muehrcke’s lines, Mee’s lines travel along the nail bed as the nail plate grows. Nail pitting is characterized by small indents or depressions on the nail surface. Read recommendations for how to use apple cider vinegar as a facial cleanser, toner, and spot treatment. It’s made of keratin cells. Videos Figures Images Quizzes View All Resources. Lung disease and rheumatoid arthritis can cause yellow nails. Previous Next 4 of 8 Nail psoriasis. Phototherapy exposes areas of skin affected by psoriasis to: The light slows the growth of skin cells. Nail clubbing is sometimes the result of low oxygen in the blood and could be a sign of various types of lung disease. Treating nail pitting can be difficult. These medications are potentially toxic to your organs, so the risks may outweigh the benefits. These images are a random sampling from a Bing search on the term "Nail Pitting." Nail psoriasis often accompanies another type of psoriasis, such as plaque psoriasis. Images Images used with permission of the Journal of the American Academy of Dermatology. The pitting can happen on your fingernails or your toenails. Injuries to the skin can set off psoriasis flares. Pitting of the nails - small pits appear on the surface of the nail. Nail psoriasis. Severe cases may cause the nail to crumble. Up to 50 percent of people who have psoriasis experience changes in their nails. In one small study, an indigo naturalis extract in oil (Lindioil) improved nail thickening and onycholysis better than calicootriene. You may also have discoloration of your nails or abnormal growth with this condition. At your appointment, your doctor will assess your medical history and perform a physical exam. You may want to cosmetically repair already pitted nails by scraping, filing, or polishing. Pitting – shallow or deep holes in the nail plate The number of the pits does usually vary from a single pit to a dozen. Pitting: Pitting is the most common nail symptom, affecting about 68 percent of people with psoriasis and nail changes. Pitting is a sign of partial loss of cells from the surface of the nail plate. Researchers have recently uncovered that there may be a link between nail pitting and the severity of psoriasis in general. Authoritative facts from DermNet New Zealand. Wear protective gloves when you garden or play sports and when you wash dishes or work with your hands in water. Treatment of nail psoriasis: Best practice recommendations from the Medical Board of the National Psoriasis Foundation. Biologic drugs like adalimumab (Humira), etanercept (Enbrel), and infliximab (Remicade) dampen the overactive immune response that causes psoriasis. Management of nail pitting - Dr. Aruna Prasad - Duration: 0:51. Here are 27 foods that have been proven to help promote your energy…, From what to eat and what workouts will be most effective, this comprehensive guide takes the guesswork out of how to feel your best the day before…, The distribution of vaccines has gotten off to a slower-than-expected start, with millions of doses distributed to states but sitting unused in…. Because of the disease, the cells are built up rapidly on the surface of the skin. “Nail psoriasis: The journey so Usually, people with psoriasis have a rash on other parts of their body as well. They do not follow the path of the nail growth and do not move toward the tip of the nail over time. Skip manicures. This can help prevent cracked or brittle nails. 7 Nail Psoriasis Symptoms. When it affects your toenails or fingernails it is referred to as nail psoriasis or psoriatic nail disease.When nail psoriasis starts to develop usually a person will have cutaneous or skin psoriasis.You may also have psoriatic arthritis when you have nail psoriasis. In people who had severe, longer lasting cases of psoriasis, nail pitting was found 47.6 percent of the time. This is called nail pitting. Be sure to share any symptoms you may be experiencing with your doctor, as this can help guide them to a diagnosis of nail psoriasis or another condition. In one 2013 study, 34.2 percent of people who had mild psoriasis also experienced nail pitting. JAMA Dermatol. Search Bing for all related images Topical medications are unable to easily reach through the nail bed. We also offer waxing hair removal services. Previous Next 3 of 7 Spoon nails. Bacteria can get into the space under the nail and cause infection, which can turn the whole nail a dark color. Nail pitting is more common in people who have psoriatic arthritis. © 2005-2021 Healthline Media a Red Ventures Company. Other telltale signs of psoriatic arthritis can be seen on the nails themselves: pitting, grooving, or other textural changes on the nail bed; changes in color; or thickening of the nails. Leukonychia (areas of white on the nail plate) is due to parakeratosis within the body of the nail plate and is due to psoriasis in the mid-matrix. If your hair tends to be dry, you may want to try changing your hair care routine. This condition can affect any part of the skin. The more technical term for this symptom is onycholysis. Ridges, Pitting and Curved Nails Normal Lines and Ridges on the Nails Trevor Knowles / Getty Images ... Tazarotene 0.1% gel or cream applied once daily for 12 to 24 weeks has been shown to improve pitting, onycholysis, and salmon patches on both fingernails and toenails, according to a 2010 study in the Indian Journal of Dermatology. Onycholysis: exfoliation of the nail from the nail bed. Little pits in the nails or pitting of the nail matrix. The nail … It can also cause additional skin tissue under the nail, nail pitting, nail thickening, or bending of the nail edges. For example, ice pick-like depressions in the nails (nail pitting) are common in people who have psoriasis — a condition characterized by scaly patches on the skin. Protecting these areas from injury and trauma (for example, when using the nail as a tool) and from stress (such as straining to open a jar) can help prevent the progression of nail psoriasis and heal the nail, Siegel says.