HESI Health Assessment Practice Test 2026 – All-in-One Study Guide for Exam Success!

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What skin condition could lead to a finding of pitting nails?

Psoriasis

Pitting nails are often associated with psoriasis, which is a chronic autoimmune condition characterized by the rapid proliferation of skin cells, leading to scaling and inflammation. One of the dermatological manifestations of psoriasis includes changes to the nails, including pitting, ridging, and, in some cases, nail separation from the nail bed.

In psoriasis, the pitting occurs due to the abnormal development of keratin in the nail matrix as well as inflammation that can affect the nail growth process. The presence of these indentations can vary in depth and size and is often a distinguishing feature of this condition. While other conditions mentioned may also affect the skin or nails, they do not typically present with the specific symptom of pitting nails, making psoriasis the most relevant choice.

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Dermatitis

Eczema

Fungal infections

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