There are more reasons for uneven nails with small pits, including trauma, psoriasis nails and onychomycosis. It is recommended to consult a doctor for medication and laser treatment under the doctor’s guidance. 1. Trauma: If the nails are traumatized, it may cause uneven nails with small pits. Usually, no special treatment is needed, and the pits will gradually fade away when the nails grow naturally. 2. Psoriasis nails: mainly caused by psoriasis affecting the nails, there may be symptoms such as nail indentation, peeling, etc., which may result in uneven nails with small pits. It is recommended to use compound flumethasone cream, halometasone ointment and other drugs under the guidance of the doctor. At the same time, should avoid contact with irritating substances, so as not to aggravate the condition of the nail. 3. Onychomycosis: Fungal infection of nails can appear uneven nails, thickening and other symptoms. It is recommended to follow the doctor’s advice to take oral terbinafine, itraconazole and other drugs to treat. In addition, laser therapy, photodynamic therapy and other ways of treatment. The specific need to go to the hospital to consult the cause of the disease, and then follow the doctor’s instructions to use medication.