Table 1 – Clinical Manifestations of Nail Psoriasis3

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Nail matrix psoriasis Nail bed psoriasis
    Pitting of nail plate
    Crumbling of nail plate
    White spots in nail plate (leukonychia)
    Red spots in lunula
    Transverse grooves (Beau’s lines)
    • Oil-drop discoloration
    • Onycholysis
    • Subungual hyperkeratosis
    • Splinter hemorrhages
    • Detachment of nail plate

Figure 1 Suggested Treatment Algorithm for Nail Psoriasis3