
Holes in the nail, also known as nail pitting, is when you have tiny dents in your fingernails or toenails. It can be a sign of an underlying condition, such as psoriasis, eczema, or joint inflammation. Psoriasis is a common skin condition that causes inflammation and patches of red, scaly skin. It can also affect the nails, causing pitting and other nail changes.
| Characteristics | Values |
|---|---|
| Name | Nail pitting |
| Description | Tiny dents in your fingernails or toenails |
| Causes | Psoriasis, eczema, joint inflammation, or family history |
| Number of pits | One or many |
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What You'll Learn

Psoriasis
Holes in the nail, also known as nail pitting, can be a sign of psoriasis. Psoriasis is a common skin condition that causes inflammation of the skin and often leads to patches of red, scaly skin. It can happen anywhere on the body, often in several areas at the same time. It can also affect the nails, causing small pinprick holes on the nail surface.
Nail psoriasis can cause ridges or grooves in the nails, as well as pitting. In some cases, a chalky white material may gather under the nail, causing it to lift away from the skin. This can be painful. Nails may also thicken, become brittle, and break. In some cases, the nail may loosen or separate from the nail bed. These changes can make it difficult to move the fingers and toes and may cause tenderness and pain in the nails.
Nail pitting is often related to a skin condition because the nail is part of the skin and grows from the nail root, which is found just under the cuticle. Psoriasis is one such skin condition that can cause nail pitting. It is a common and ongoing skin condition that causes skin cells to build up very quickly. It tends to come and go and can affect any part of the body, although it rarely affects only the nails.
People who develop psoriasis tend to have flare-ups throughout their lives, and the frequency and severity of these flare-ups can vary greatly from person to person. While psoriasis can develop at any time, it most commonly starts in people aged between 15 and 3.6% of Caucasian Americans. It is not caused by infection, cannot be passed on to others, and does not develop into cancer.
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Eczema
Tiny holes in your nails are called pitting and can be a sign of psoriasis, eczema, or joint inflammation. Pitting is often related to a skin condition because the nail is part of the skin and grows from the nail root, which is found just under the cuticle.
The exact cause of eczema is unknown, but it is believed to be a combination of genetic and environmental factors. People with a family history of eczema or other allergic conditions are more likely to develop it. Certain triggers, such as stress, certain foods, and environmental allergens, can also contribute to eczema flare-ups.
Treatment for eczema typically involves managing symptoms and preventing flare-ups. Moisturizers and emollients are often recommended to keep the skin hydrated and reduce dryness and itching. Topical corticosteroids may be prescribed to reduce inflammation during flare-ups. Antihistamines can also help with itching and are particularly useful for treating eczema that affects sleep.
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Joint inflammation
Nail pitting, or small holes in the nails, can be a sign of joint inflammation. This is often related to a skin condition, such as psoriasis or eczema. Psoriasis is a common skin condition that causes inflammation and often leads to patches of red, scaly skin. It can also cause nail pitting, which can make it difficult to use your hands.
Nail pitting can also be a sign of joint inflammation, which can be caused by a variety of factors, including injury, infection, or autoimmune conditions. Joint inflammation can cause pain, swelling, and stiffness in the affected joints, making it difficult to move and use the hands and fingers.
If you notice nail pitting, it is important to see a doctor to determine the underlying cause. They may ask about your medical history, perform a physical examination, and order additional tests, such as blood work or imaging scans, to diagnose the condition.
Treatment for joint inflammation will depend on the underlying cause. Anti-inflammatory medications, such as non-steroidal anti-inflammatory drugs (NSAIDs), may be prescribed to reduce pain and swelling. In some cases, steroid injections may be recommended to reduce inflammation in the affected joints. Physical therapy may also be beneficial to improve joint mobility and function.
It is important to address joint inflammation early to prevent further damage and complications. With proper treatment and management, joint inflammation can be controlled, and symptoms can be improved.
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Skin conditions
Holes in the nail, also known as nail pitting, can be a sign of a skin condition. It can be a symptom of psoriasis, eczema, or joint inflammation. Psoriasis is a common skin condition that causes inflammation of the skin and often leads to patches of red, scaly skin. It can happen anywhere on the body, and sometimes the nails are the only affected body part. It can also cause ridges or grooves in the nails, debris buildup, and nail thickening. Eczema is another skin condition that can cause nail pitting. It is characterised by dry, itchy, and irritated skin. While the exact cause of eczema is unknown, it is believed to be a combination of genetic and environmental factors. Joint inflammation, also known as arthritis, can also lead to nail pitting. It is often associated with pain, swelling, and stiffness in the joints.
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Nail pitting
Joint inflammation, or arthritis, can also cause nail pitting. This is because the inflammation can affect the nail bed, causing changes in the nails, such as pitting.
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Frequently asked questions
Holes in the nails are known as nail pitting. This can be a sign of psoriasis, eczema or joint inflammation.
Nail pitting is when you have tiny dents in your fingernails or toenails. There can be one single pit or many pits.
Nails with multiple pits can look like the surface of a thimble.
Nail pitting is often a sign of another condition, such as psoriasis, eczema or joint inflammation. It can also be genetic.
Psoriasis is a common skin condition that causes inflammation of the skin and often leads to patches of red, scaly skin.











































