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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.
A new nail plate will form once the cause of the disease is removed. Onychomycosis , also known as tinea unguium , is a contagious infection of the nail caused by the same fungal organisms which cause ringworm of the skin ( Trichophyton rubrum or T. mentagrophytes , rarely other trichophyton species or Epidermophyton floccosum [ 1 ] ).
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]
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Recurrence may occur following treatment, with a 20-25% relapse rate within 2 years of successful treatment. [13] Nail fungus can be painful and cause permanent damage to nails. It may lead to other serious infections if the immune system is suppressed due to medication, diabetes or other conditions.
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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.
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