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Real members of MyPsoriasisTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

I have a hole in my nailbed right above the cuticle. It just appeared this morning without ever injuring my thumb. Will my nail fall off?

A MyPsoriasisTeam Member asked a question 💭
Mcallen, TX

I have a hole in my nailbed right above the cuticle. It just appeared this morning without ever injuring my thumb. Will my nail fall off?

June 29
 · 
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A MyPsoriasisTeam Member

Possibly but not for sure. Try to keep it from getting infected.

June 29
MyPsoriasisTeam

What could cause a hole in the nailbed above the cuticle with psoriasis, and will the nail fall off?

A sudden hole or gap near the cuticle area can be related to nail psoriasis. This kind of change can happen without any obvious injury — psoriasis affects the nail matrix (where nails grow from), which sits right near the Show Full Answer

What could cause a hole in the nailbed above the cuticle with psoriasis, and will the nail fall off?

A sudden hole or gap near the cuticle area can be related to nail psoriasis. This kind of change can happen without any obvious injury — psoriasis affects the nail matrix (where nails grow from), which sits right near the cuticle area. The nail may not necessarily fall off, but there are some things to watch for:

- Onycholysis — this is when the nail starts to lift or separate from the nail bed, which can happen with nail psoriasis
- Infection risk — any gap or opening near the nail can allow bacteria or fungi to enter, so keeping the area clean and dry is important
- Pitting or structural changes — psoriasis can cause small holes or pits in nails, which may worsen without treatment

The most important step right now is to contact your dermatologist or doctor as soon as possible. They can examine the nail, confirm whether this is nail psoriasis-related, and rule out any infection. In the meantime, try to keep the area dry, avoid picking at it, and don't bite or trim aggressively around the cuticle. Moisturizing gently can also help.

Treatment options do exist — from topical creams to systemic medications — so there's reason to be hopeful. Patience is key with nail psoriasis, as nails are slow to heal, but improvement is definitely possible with the right care.

June 29
A MyPsoriasisTeam Member

The nail has grown out a bit and new nail is growing out at the cuticle. I'm hoping this is limited to just my thumb. I do have problems with psoriasis around my other fingernails. I'm keeping an eye on anything further developing.

July 7

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Looking for advise/suggestions to help with nails. I can’t take biologics.

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Ontario, CA
April 23

I have nail psoriasis. Can I get a shellac manicure? Or just use nail polish?

A MyPsoriasisTeam Member asked a question 💭
Ottawa, ON
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