![]() You may want to cosmetically repair already pitted nails by scraping, filing, or polishing. Treating nail pitting is often a long-term process that doesn’t always have the best results. These medications are potentially toxic to your organs, so the risks may outweigh the benefits. However, they typically aren’t recommended if you only have nail pitting. Immunosuppressant medications, such as cyclosporine (Neoral) and methotrexate (Trexall), are also options. Some doctors may recommend taking vitamin D3 supplements. This type of treatment has varied results.Īnother option is to use phototherapy or light therapy on the affected nails. Because of this, your doctor may consider corticosteroid injections into your nail beds. Topical medications are unable to easily reach through the nail bed. incontinentia pigmenti, a genetic disorder affecting the hair, skin, nails, teeth, and central nervous system.autoimmune diseases, such as alopecia areata, sarcoidosis, and pemphigus vulgaris.connective tissue disorders, such as Reiter’s syndrome (a form of reactive arthritis), and osteoarthritis.There are a few other causes of nail pitting that are not related to psoriasis. In people who had severe, longer lasting cases of psoriasis, nail pitting was found 47.6 percent of the time. In one 2013 study, 34.2 percent of people who had mild psoriasis also experienced nail pitting. Researchers have recently uncovered that there may be a link between nail pitting and the severity of psoriasis in general. It is also more common in people who are over age 40. Nail pitting is more common in people who have psoriatic arthritis. Between 5 and 10 percent of people who have nail psoriasis will not have any other symptoms. Up to 50 percent of people who have psoriasis experience changes in their nails.
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