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Nail inspection can give hints to the internal condition of the body as well. Nail disease can be very subtle and should be evaluated by a dermatologist with a focus in this particular area of medicine. A nail technician may be the first to note a subtle change in nail health. [2] [3] [4]
As of 2020, there have not been controlled, blinded studies on the treatment of green nail syndrome [16] and there are no treatment guidelines as of 2021. [8] Keeping the nails dry and avoiding excessive immersion of the nails are key. [11] In some cases, surgical removal of the infected nail may be required, [16] as a last choice. [8]
[2] [5] Trimming the affected nails when on treatment also appears useful. [2] There is a ciclopirox-containing nail polish, but there is no evidence that it works. [2] The condition returns in up to half of cases following treatment. [2] Not using old shoes after treatment may decrease the risk of recurrence. [3]
Onychoschizia, also known as nail splitting and brittle nails, is a splitting of the free-edged tip of the nail. [1] There is also often a longitudinal split in addition to the separation of keratin layers.
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]
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.
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The nails are markedly thickened with yellow to yellow-green discoloration of the nails. [1]: 792 [6] They grow slowly, at a rate of 0.25 mm/week or less. The nails may have ridges and increased side-to-side curvature, reduction of the white crescent and detachment of the nail from the nailbed. [5] These nail abnormalities may also change over ...