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Manicures, nail polish and remover, nail biting, and repeated trauma such as typing, can contribute to nail splitting. [1] Dehydration likely plays a role. [3] Nutritional deficiencies that can result in nail splitting include iron, selenium, and zinc. [1] Some skin diseases such as psoriasis and lichen planus may feature such nails. [3]
Onychorrhexis (from the Greek words ὄνυχο- ónycho-, "nail" and ῥῆξις rhexis, "bursting"), is a brittleness with breakage of finger or toenails that may result from hypothyroidism, anemia, anorexia nervosa or bulimia, or after oral retinoid therapy. [1]: 786 It can also be seen in melanoma that involves the nail and onychomycosis. [2]
The accessory nail of the fifth toe, also known as a double nail of the fifth toe (DNFT) [1] or a petaloid toenail, [2] is a physical trait of the small toe, where a minuscule sixth toenail is present in the outer corner of the nail situated on the smallest toe. Although understudied and underreported, its prevalence is common.
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Polyonychia can also be acquired, such as after an accident that affected the nail bed causing it to split. This type of polyonychia is just referred to as "post-traumatic split nail" [3] Polyonychia's syndromic causes include: Isolated congenital onychodysplasia [4] Polyonychia's non-syndromic causes include: