Psoriasis is one of the most common chronic inflammatory skin conditions, and it has been widely studied over the years, resulting in the development of effective treatments and management strategies. However, nail psoriasis is frequently overlooked, despite its significant disease burden, and there is notably less information available on the condition and treatment options. 

The Burden of Nail Psoriasis 

More than 50% of people with psoriasis also experience symptoms that affect their fingernails and toenails, and it is estimated that over 90% of people with plaque psoriasis will experience some type of nail psoriasis in their lifetime. Nail psoriasis manifests in both subtle and more noticeable ways, including yellow or brown discoloration of the nail, inflammation of the cuticles and nailbeds, nail pits and dents, cracked or brittle nails, separation of the nail from the nail bed, and thickening or bleeding beneath the nail plate. 

A recent research review published in the Journal of the American Academy of Dermatology collated a variety of updated diagnostic techniques for nail psoriasis, including the effective use of dermoscopy, capillaroscopy and ultrasounds. As for management strategies, options include platelet-rich plasma injections, JAK inhibitors, monoclonal antibodies, corticosteroids and various topical creams.

Due to the quiet prevalence of nail psoriasis in the general population, the review also argues for greater awareness surrounding this common condition, as well as more customized treatment strategies based on specific symptoms and their location on the nail. Damage and symptoms can occur in the nail bed, the nail plate or the nail matrix, meaning that having discussions with your doctor or dermatologist about the right approach is critical. 

Hyaluronic Acid and Nail Psoriasis

When it comes to mitigating the symptoms and discomfort of nail psoriasis, a variety of topical treatments are available, most of which include anti-inflammatory components to decrease the redness, itching and discomfort associated with the condition. Hyaluronic acid is increasingly being turned to in dermatologic circles due to its broad usage potential, widespread availability and organic composition.

Hyaluronic acid is a natural emollient substance (an aminoglycan) that is produced and found throughout the body, particularly in the joints, eyes, and skin. As an emollient, hyaluronic acid is an ideal moisturizer, helping to keep things lubricated and hydrated as necessary. However, as we age, the amount of hyaluronic acid produced in the skin begins to decrease, increasing one's susceptibility to dry skin, fine lines and wrinkles, or reduced skin elasticity. This susceptibility extends to chronic skin conditions, such as acne, psoriasis, rosacea, or atopic dermatitis (eczema). 

In the case of nail psoriasis, much like the associated symptoms affecting the rest of your skin, the symptoms in your nail beds, plates and matrices can be alleviated with the anti-inflammatory, moisturizing, and rejuvenating qualities, increasing blood flow and immune activity at the sites of irritation. 

A Soothing Psoriasis Solution

For quick and long-lasting rejuvenation of the skin and the alleviation of inflammation, the Day and Night Cream from NeuLuna is an effective choice. With hyaluronic acid as its primary active ingredient, it also benefits from the moisturizing and nourishing effects of rosehip oil and oleyl erucate.

Designed for all skin types and featuring a patented delivery system to penetrate deeper into the skin, including cuticles and nail beds, this twice-daily serum addresses discomfort at the root of the symptoms. 

This novel product offering from NeuLuna is non-abrasive and readily absorbed, while also providing a layer of protection and moisture retention for affected areas on, around and beneath the nails. Visit our website for information on the product design and customer reviews, then take a proactive step towards managing your nail psoriasis symptoms.