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The More I Learn, the Scarier it Gets
from Uros

Hi,  I like your site.

A year ago I was diagnosed with psoriasis on my finger nails.  First it affected just one nail, but now I have it on three. Doctors thought it is was a fungus initially, so for few months I was treated for that.

Then, after no results, I sought a second opinion, which was that I had P.  I’d heard the word before, but had no idea what P was. Now I know.

But now I learn more about it on the Internet and it is frightening me.  What is my long-term prognosis with P?  Are the nails just a start?  Or could this thing grow to my skin and spread and.... 

Thanks, -Uros

*****

Ed’s Response:  Well, Uros, I’m glad you like FlakeHQ and take that as a compliment given that the more you learn the more fearful you become. 

The good or the bad news — depends on your point of view — is that there won’t be any reliable long-term prognosis about your P.  Some people, by watching close relatives who have the condition, might suspect, with a little bit more certainty, how it’s going to affect them over time, but even that little bit more certainty isn’t much.

Frankly, I find it unusual that your P manifested first in your nails.  Perhaps this isn’t unusual and I’m just not familiar with it.  Let me ask you a personal question.  Do you bite your nails?  I ask because it occurs to me that my own nail P may have a bit of “Koebner Phenomenon” at play.  The Koebner Phenomenon — named after the doctor who first described it — is the tendency for a skin site that is traumatized to turn into a psoriasis lesion.  Cuts are commonly “Koebnerized.”  (At one time I sported a set of lesions that were like a photograph of a surgery I had had years earlier.)  Right now I have 10 fingernails with P-symptoms.  I also have 10 fingernails that I have a tendency to bite.  If I could refrain from biting my nails for a few months I might be able to better determine if the one is associated with the other.

Anyway, there’s no sense in carrying on your anxiety about the future, Uros.  Wake up every morning and appreciate where you DON’T have any evidence of psoriasis.  That will make for far more pleasant days. 

Good luck!  -Ed

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