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Cessation of trauma to the nail is an effective treatment for habit-tic deformity. Several methods have been shown to be effective, including the application of cyanoacrylate adhesive to form an artificial cuticle and promote nail root growth, as well as wearing bandages or tape to prevent picking.
Onychauxis presents with thickened nails without deformity, and this simple thickening may be the result of trauma, acromegaly, Darier's disease, psoriasis, or pityriasis rubra pilaris, or, in some cases, hereditary. [1]: 783 [2] It may appear as loss of nail palate translucency, discoloration, and subungual hyperkeratosis.
Onychomycosis, also known as tinea unguium, [4] is a fungal infection of the nail. [2] Symptoms may include white or yellow nail discoloration, thickening of the nail, and separation of the nail from the nail bed. [2] Fingernails may be affected, but it is more common for toenails. [3] Complications may include cellulitis of the lower leg. [3]
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Cleaning under the nail is not recommended as this only serves to separate the nail further. Bandages are also to be avoided. [11] When kept dry and away from further trauma, the nail will reattach from the base upward (i.e., from proximal to distal). The aim of treatment is also to eliminate onychomycosis that is a major cause of onycholysis.