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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.
Anatomy of the basic parts of a human nail.A. Nail plate; B. lunula; C. root; D. sinus; E. matrix; F. nail bed; G. eponychium; H. free margin. Onychia is an inflammation of the nail folds (surrounding tissue of the nail plate) of the nail with formation of pus and shedding of the nail.
Topical administration of urea cream 40% under occlusion [16] or halcinonide cream 0.1% under occlusion for 5–6 days [17] has been used to treat onychomadesis in certain patients, although these therapies have not always proven successful. [6] It has been suggested to apply basic fibroblast growth factor externally to promote fresh nail plate ...
The diagnosis is generally suspected based on the appearance and confirmed by laboratory testing. [2] Onychomycosis does not necessarily require treatment. [3] The antifungal medication terbinafine taken by mouth appears to be the most effective but is associated with liver problems. [2] [5] Trimming the affected nails when on treatment also ...
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. Antifungals like terbinafin and itraconazole in the form of oral pills should be given for 6 to 8 weeks. [11]
Conservative treatment is associated with recurrence/temporary remission and is a straightforward procedure [how?]. [4] Surgical treatment has a decreased rate of recurrence, though when done improperly it can result in pain, an atypical nail appearance, secondary infection, wound necrosis, and sensory disruption.
Bumping of an affected toe can cause pain as the nail's surrounding tissue is punctured further. Ingrown nails can become easily infected unless care is taken early to treat the condition. Signs of infection include redness and swelling of the area around the nail, drainage of pus, and watery discharge tinged with blood. The main symptom is ...
Severe congenital onychogryphosis affecting all twenty nailbeds has been recorded in two families who exhibit the dominant allele for a certain gene. [6] [7]Congenital onychogryphosis of the fifth toe (the baby, little, pinky or small toe) is fairly common, but asymptomatic and seldom brought to the attention of medical professionals.