Nail psoriasis cannot be cured, it can only be controlled. At present, three systemic medications are most commonly used for psoriasis and nail psoriasis: methotrexate, retinoids, and cyclosporin. As with general psoriasis, systemic therapies are seldom a first-line therapy for nail psoriasis. Carefully weigh the risk-to-benefit ratio in the treatment of nail psoriasis.

Although there is no cure for nail psoriasis, it may improve by itself and may even return to a normal appearance. One factor that may help a return to normal appearance is treatment for fungal infection, since about one-third of people who have nail psoriasis also have a fungal infection that could actually be triggering their psoriasis or making the psoriasis worse.

Recent advances in nail psoriasis treatment include a new medication containing an 8%-clobetasol-17%-propionate compound in a colorless nail polish has shown good results in the treatment of nail psoriasis. Calcipotriol is also effective for psoriasis, and a few studies report that it is effective in treating nail psoriasis.

Conclusion

Although nail psoriasis is currently incurable, it can be controlled. Some treatments that work for general psoriasis are also effective on nail psoriasis. Consult with your doctor to find the nail psoriasis treatment that will work best for you.