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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]
Subungual hematomas typically heal without incident, though infection may occur. The pressure of the blood blister may cause separation of nail plate from the nail bed (onycholysis), but the nail should not be pulled off, as this can cause scarring of the nailbed and deformed nails. [3] Nail discolouration may last some months. [4]
Angular cheilitis is thought to be a multifactorial disorder of infectious origin, [10] with many local and systemic predisposing factors. [11] The sores in angular cheilitis are often infected with fungi (yeasts), bacteria, or a combination thereof; [8] this may represent a secondary, opportunistic infection by these pathogens.
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]
“A lot of the nail hardeners that you’ll find over the counter are usually going to just provide a coating to the nail as opposed to actually going in there and repairing the nail.”
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Nails may also be affected. [5] The most common cause is Trichophyton rubrum. [2] The infection can result from touching another area of the body with a fungal infection such as athlete's foot or fungal infection of groin, contact with an infected person or animal, or from contact with soil or contaminated towels. [5]
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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