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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]
[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]
As much as we enjoy getting our nails done, it’s important to take a break from manicures every once in a blue moon to let them breathe — free from any polish or acrylics.
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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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