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Trying to solve the infection without the qualified help of a podiatric physician can lead to more problems. With new technical advances in combination with simple preventive measures, the treatment of this lightly regarded health problems can often be successful.

Psoriatic Nails

Psoriasis is a chronic skin disorder affecting about 2% of the population.  It is non-contagious and appears to have a genetic origin, though episodes may be triggered by stress and trauma.  

Psoriasis may be rather mild, involving occasional bouts of non-painful, silver-white scales on a small area of the skin with varying degrees of redness (inflammation) surrounding it (see diagram to the right), or it may be severe, involving uncomfortable blisters over large portions of skin throughout the body.     

While psoriasis may be found anywhere on the body, the classic areas of involvement are the elbows, knees, hands, feet, scalp, ears, and the genital region.

Some 50% of individuals with psoriasis may develop the condition in their nails.   This condition causes some combination of pitting in the nails (see diagram A below), yellow-white discoloration and dystrophy (degeneration) mimicking fungal involvement (see diagram B below), and onycholysis, where the nail slowly becomes detached and loose from the nail bed (see diagram C below).   The nails are usually painless, but may become painful in some cases.

When an  ingrown nail, fungal nail, psoriatic nail, or other uncomfortable nail pathology does not respond to conservative care, an attempt may be made at a permanent correction of the problem through surgical means.  Surgical nail procedures have improved greatly over the years, and they may be designed to temporarily or permanently correct ingrown nail conditions.   Listed below are some of the most common procedures.   

Temporary Nail Procedures

At first glance, it may seem nonsensical to attempt a temporary nail procedure.  After all, why would anyone wish to temporarily fix a nail condition when you could do it permanently?  

Well, there are a couple reasons it may make sense to try this sort of procedure.  First, if there is nothing really wrong with the nail, but the ingrown nail was caused by a one-time trauma, by cutting the nail improperly or by some other one-time event, it may be quite reasonable to address the acute problem temporarily in such a way that once the tissues heal, the problem may not be likely to return.  

A couple examples of procedures that fall into this category are listed below:

Wedge Resection   This procedure simply aims to remove the offending portion of the ingrown nail without touching the remainder non-problematic nail.  Depending upon the severity of the problem, this procedure may be performed with or without anesthesia.  

Granuloma Excision  This procedure aims at removing the portion of skin that often grows up and over the nail plate when ingrown nails are present.  This abnormal growth of skin is known as a Granuloma or Proudflesh, and usually appears red, angry-looking (though they may be painless) and

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