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A MyLupusTeam Member asked a question 💭
Missouri Valley, IA
February 26
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MyLupusTeam

How does lupus affect fingernails?

Lupus can cause various nail changes that may be concerning or uncomfortable. Many people with lupus experience nail problems like ridges, splitting, discoloration, and even nails separating from the nail bed.

Common nail changes include
- Horizontal ridges or dents
- Splitting and Show Full Answer

How does lupus affect fingernails?

Lupus can cause various nail changes that may be concerning or uncomfortable. Many people with lupus experience nail problems like ridges, splitting, discoloration, and even nails separating from the nail bed.

Common nail changes include:
- Horizontal ridges or dents
- Splitting and brittleness
- Purple, brown, or gray discoloration (melanonychia)
- Redness or swelling around the nails
- Nails becoming loose or falling off
- White or lightened nail beds

These changes happen because of inflammation and how your immune system reacts to lupus. Lesions at the nail fold (where the nail grows from your finger) often cause many of these problems. Lupus medications can also affect your nails. Drugs like azathioprine, corticosteroids, methotrexate, and hydroxychloroquine may cause nail changes or increase your risk of fungal infections. Biologic medications can also raise infection risk.

The good news is that nail problems often improve once lupus is under control with effective treatment. A MyLupusTeam member shared that after diagnosis and treatment, their nail issues with ridges, wavy nails, and purple moons eventually resolved.

If you're experiencing nail changes, talk with your rheumatologist or dermatologist. They can help determine if it's lupus-related and recommend appropriate treatments or care strategies.

February 26

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