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A MyLupusTeam Member asked a question 💭

I have been recently diagnosed but had flares off and on for years now. Recently I have had the most obnoxious nail issues. They’re peeling, thickened, appear to have fungus but my dr said it’s not. And they itch terribly. I’m new to these nail symptoms. Any advice or support is appreciated!

April 10 (edited)
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A MyLupusTeam Member

Ok, this helps. I do use UV light for gel and it seems to worsen it lately. It never did before, but it has started to.

April 10
MyLupusTeam

Are you experiencing peeling, thickened, itchy nails that your doctor says aren't fungal?

You're definitely not alone with these nail issues. Many MyLupusTeam members report similar problems with their fingernails after diagnosis. One member described having "ridges, wavy nails, and purple moons" for a couple of years after Show Full Answer

Are you experiencing peeling, thickened, itchy nails that your doctor says aren't fungal?

You're definitely not alone with these nail issues. Many MyLupusTeam members report similar problems with their fingernails after diagnosis. One member described having "ridges, wavy nails, and purple moons" for a couple of years after diagnosis. Another shared that their nails became "very soft" and "constantly split, even with slight contact from clothing or other objects."

Lupus can affect your nails in several ways:

* Peeling and splitting
* Horizontal ridges or dents
* Thickening
* Discoloration (purple, brown, gray, or white)
* Nails separating from the nail bed
* Swelling and redness around the nails

These changes likely happen because of inflammation and how your immune system reacts to lupus. Lupus lesions at the base of your nails (where they grow from your finger) can cause many of these problems, including ridges and splitting.

The good news is that once your lupus is better controlled with treatment, nail problems often improve or disappear. As one member explained, their nails did "all kinds of weird things" for a couple years after diagnosis, but eventually got better. Here are some ways to care for your nails while managing lupus:

Keep them clean and dry:
* Keep nails short to make cleaning easier
* Dry them thoroughly since moisture can worsen problems
* Wear clean socks daily and breathable shoes

Protect your hands:
* Apply moisturizer to your nails, cuticles, and surrounding skin every time you use hand lotion
* Wear gloves when washing dishes or cleaning to avoid harsh chemicals and extreme water temperatures
* File your nails instead of cutting them to avoid nicks and scratches

Consider nail strengtheners:
A MyLupusTeam member found that adding "nail fortifier" helped keep their nails from splitting and chipping.

Avoid UV light exposure:
If you're photosensitive, skip gel manicures or other nail treatments involving UV light, as these can worsen lupus and cause lesions around your nails.

Since your symptoms are new and bothersome, definitely keep your rheumatologist or dermatologist updated. They may have prescription treatments or other options to help, especially if the itching is severe. Some members found their nail issues improved significantly once their lupus treatment was working well.

April 10

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A MyLupusTeam Member asked a question 💭
Pearland, TX

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