|May-June '03 | briefing | mail | don't say this | flakers' jargon | flaker creativity | articles | other places | archives | send mail | ed dewke | legal stuff | order | search | ©2001 Ed Dewke|
Nails are Corrupt and Not Growing
My husband has psoriasis. Not
so bad on the skin. He says it
doesn’t bother him, but his nails aggravate him to no end.
physician said it was nail fungus. The
dermatologist says it is psoriasis in the nails.
His nails are very brittle and crack and split all year round.
Not just in the Winter.
everything from nail hardening polish to cortisone shots under the nails.
really grow so the cracks never seem to grow out.
I haven’t seen this mentioned in the letters.
Is there a specialist that really has any experience with this?
Do you have any advise? -Tand
It is his finger nails not his toenails that really bother him.
Response: That’s a tough
one, Tand. I know of no
“nail P specialist.” The
derms I’ve heard address the problem all agree that it’s difficult to
treat and, even when you’re on the road
to recovery, the road is much longer for nail P than for other forms
To be brutally
honest, my nails have never cleared except when I’m on a systemic —
methotrexate or cyclosporine. When
I stop taking these, nail P invariably returns.
husband’s nails really didn’t grow, I imagine he’d have lost the
nails by now, because P will have turned them into a softer, crumbly
tissue under the very thinnest veneer of hardness — a veneer that time
and day-to-day erosion would have worn away.
More likely the nail is being replaced from the cuticle outward,
but slowly, and with continuous corruption from the P.
Most of the
normal palliative therapies, including cortisone injections, will not
change the already corrupted nail, but they are intended to start a normal
growth that you will see gradually push
out the bad nail. Problem
is for me, and probably for your husband, too, none of those palliative
remedies really work to get our good nails started.
The bad just keeps generating more bad.
(If I had the means and constitution to take ultra-slow time lapse
photography — like a frame a week for a decade or so — I’m sure I
could create a real horror show when I speed
up the wave like corruption of a fingernail victimized by P.)
have had their nails removed and replaced with artificial nails.
I’ve read this; never seen it.
I have my doubts. But
thought you should know.
ago, a derm suggested I remove my thumb nail by using a nasty formula
under an occlusive dressing for two weeks.
This was supposed to dissolve the nail so it could be wiped away when the dressing came off.
Theory was that with the bad nail totally gone, the chances of
growing a good nail in its place would be improved.
I never got to
test the theory because the nasty compound and two weeks of occlusion were
insufficient to remove the nail. What
I ended up with was a corrupt nail that now had the constituency of
rubber. In time it toughened
back up. And continued to look
uglier than sin.
You may also
want to search on “diet” and browse through some of the correspondence
here. There are vitamins and
dietary supplements known to stimulate healthy nail growth.
Maybe just speeding up the growth of your husband’s nails would
help. My mother would say,
“Eat a lot of Jell-O.”
If anyone else
reading this has some tips on treating P nails, please share.
Meanwhile, Tand, best of luck. -Ed