I often shook hands. Warm greetings to people has been part of my professional profile as a minister for over 20 years. However, during the COVID-19 pandemic, those handshakes turned into waves, or elbows.

I wish I had these alternatives to the handshake when I was a young minister trying to hide psoriasis on my fingernails and hands.

My challenge with nail psoriasis goes back to elementary school. I remember I tried a lot to clean my nails and get rid of pores and streaks, but it didn't work. So I subconsciously hid my nails from my fingers with my thumbs.

Thanks to effective treatments, my chronic condition is much better now, but I still have active psoriasis on most of my nails and toes. According to research, I am not alone.

+ Who develops nail psoriasis?

If you have psoriasis, you may be wondering if you have nail psoriasis. The research cited by NaFF (National Phiasis Foundation) has around 50% of people, and psoriasis has nails, and 90% will experience nail psoriasis in a life.

The article about the nail psoriasis options of the journal drugs "Nail Partnership is further disseminated in patients with 80 ~ 9% psoriasis and widespread in solvent arthritis patients."

When I read other magazine articles about the powerful correlation between nail psoriasis and society, I asked if I thought I would worry about my skin and the doctor. He gave me an introduction to the Romato specialists for modern reviews of arthritis.

No, I had no psoriasis arthritis, I was worried. If you have questions that you can see your nails psoriasis arthritis, you must be with your healthcare team.

+ Symptoms of psoriasis on the nails

American Skin Websites (AAD) show common signs of nail psoriasis and list in photography. This is also:

- Rox nail pit like Hi in nails

- White, yellow, brown area and the color of the nail change

- Failed nails

- Remove nails from the nail bed (nail covers)

- Dnarse or nail bleeding

Amazingly, at the same time or all other nails symptoms of psoriasis showed.

In addition to the embarrassing psoriasis psoriasis, I experience a lot of pain and pain. The cytles are tired of inflammation under my fingernail. Picked up the crack and ended up to the base. 

To avoid more problems or damage, I learned that I put my hand in a solid or dark place, like a box or drawer. It is difficult to forget acute acute and sudden pain or citizens who were tearing something invisible. The socks were a process when the paws were lifted or cried were tried fabric.

+ Psoriasis treatment of nails

When you look at my nail, we are grateful that you are transforming or seeing before. Today, I use my psoriasis of the nail using biological injection properties for the psoriasis of my skin. I also use topical corticosteroids for inflamed nail beds.

AAD lists available treatments for nail psoriasis. Some of them can be applied directly to your nails at home or at a dermatologist, while others that are effective systemically come in tablets and injections.

Over the years I have tried a variety of systemic medications including pills like methotrexate and cyclosporine. Some didn't help my nail psoriasis at all, others worked differently. 

Treatment of nail psoriasis requires patience, trial and error, and close collaboration with a dermatologist. "Nail changes can occur in the nail plate, nail bed, or nail matrix," NPF states. Where the nails are affected can determine the most effective treatment. Your doctor will discuss your treatment. "

+ Tips for a better life with psoriasis of the nail

AAD also provides a list of nail care tips that can make your life with psoriasis easier. Here are some of the things I follow on a regular basis.

- Keep your nails short to avoid getting caught. 

  - Scrape the nails so that the sharp edges do not damage the skin.

- Use gloves (gloves with a cotton lining inside the gloves) when doing housework.

Also, when nail psoriasis gets worse, my spouse and kids do things like clean the bathroom. Asking for help is difficult when I want to be self-reliant, but it's best not to let psoriasis bother me.

 Living with nail psoriasis today is not as difficult for me as it was years ago. A more effective treatment for psoriasis improved my nails and I became less self-aware as I got older. You no longer have to hide your thumbs and avoid losing.

But those cavities and spots remind you that nail psoriasis still exists.