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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]
The least invasive treatment includes soaking the nail in alcohol and regularly trimming the nail back, [medical citation needed] to dry out the area and prevent bacterial colonization. [15] Some at-home treatments include soaking the nails in vinegar (diluted with water 1:1) or a chlorine bleach solution (diluted with water 1:4) at regular ...
[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]
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]
Nail psoriasis can affect the fingernails and toenails. It may cause thickening of the nails with areas of pitting, ridges, irregular contour, and even raising of the nail from the nail bed. [16] Squamous-cell carcinoma is mainly cancer of the skin, but can also affect the nail bed. It is a rare malignant subungual tumor subject to misdiagnosis ...
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.