Artificial nails are trendy, stylish, and widely loved for giving nails a polished and glamorous look. However, not everyone knows that these artificial enhancements can sometimes cause hidden health issues, especially for people who are prone to skin conditions like psoriasis. Doctors warn that the chemicals, glue, or even the process of applying and removing artificial nails can trigger nail psoriasis in sensitive individuals.
Psoriasis is a chronic autoimmune condition that causes rapid skin cell turnover, leading to scaly patches, redness, and inflammation. While it often affects the skin, it can also appear in the nails, causing pitting, thickening, and discoloration. For some people, artificial nails may become the unexpected reason behind a flare-up.
The connection between artificial nails and nail psoriasis can be explained through a dermatological principle called the Koebner phenomenon, first described in 1872. The phenomenon explains how any trauma or injury to the skin or nails can trigger psoriatic lesions in people who are genetically predisposed to the condition.
In the case of artificial nails, the trauma can occur in several ways:
Aggressive filing or buffing of the nail bed before application
Improper or rough removal of nail extensions
Excessive pressure while applying acrylics or gels
Repeated use of harsh chemicals like acetone or nail glue
These micro-injuries can activate the body’s immune system, sparking inflammation in the nail matrix — the part of the nail that generates new growth. Once triggered, the immune system starts a psoriatic response, leading to nail damage such as:
Nail pitting (small dents in the nail surface)
Oil-drop discoloration (yellow-brown spots on the nail)
Thickened nails (subungual hyperkeratosis)
Crumbling or brittle nails
Dr. Sonali Kohli, Senior Consultant in Dermatology at Sir HN Reliance Foundation Hospital, Mumbai, shared her observations. She explained, “In my practice, I often see patients with only mild psoriatic tendencies developing nail psoriasis within 2-4 weeks of aggressive nail treatments. The signs are usually misinterpreted as regular nail damage, but in reality, they are early psoriasis changes.”
Apart from physical trauma, chemical irritation also plays a role. The glue used to attach artificial nails, acetone in removers, or strong nail polish removers can irritate the nail bed. Similarly, UV light used in curing gel nails may contribute to inflammation in sensitive individuals. All of this increases the risk of psoriasis flare-ups.
Artificial nails are not harmful to everyone. Many people use them regularly without any issues. However, for those with psoriasis or an autoimmune predisposition, being cautious is very important. Dermatologists suggest a few preventive steps:
Choose skilled nail technicians
Always go to trained professionals who understand how to handle nails gently. Poor technique is a major cause of nail trauma.
Opt for gentler methods
Instead of aggressive buffing and filing, ask for milder application methods that cause less trauma to the natural nail.
Be careful with removers
Avoid harsh acetone-based removers. Use non-acetone alternatives and make sure nails are soaked gently instead of being forcibly peeled.
Hydrate your nails
Keep nails and cuticles moisturized using natural oils like almond oil, jojoba oil, or specially designed nail hydration oils. Hydrated nails are less prone to cracking and damage.
Take breaks between artificial nails
Continuous use of extensions or gels does not allow nails to recover. Taking breaks gives the natural nails time to strengthen.
Watch out for early signs of psoriasis
If you notice nail pitting, unusual discoloration, or thickening after a nail treatment, consult a dermatologist immediately. Early treatment prevents it from spreading to the skin.
If nail psoriasis does develop, early medical care is crucial. Doctors may recommend:
Topical anti-inflammatory creams or ointments to reduce local inflammation
Systemic medications in severe cases
Lifestyle changes, such as stress management, which plays a role in controlling autoimmune flare-ups
Dietary supplements to strengthen immunity and support nail health
Gut health management, as gut imbalance is linked to autoimmune conditions
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Dr. Kohli adds that artificial nails themselves are not always the problem. The main concern is how they are applied, removed, and cared for afterward. With the right precautions, many people can still enjoy artificial nails without triggering nail psoriasis.
The key message for patients is simple: cosmetic nail procedures are not harmful by default, but they require careful choices and aftercare. Those with autoimmune conditions or a family history of psoriasis should be extra cautious. Responsible decision-making, along with timely medical support, can help keep nails both healthy and stylish.
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