Nail well being chart: Frequent issues and find out how to deal with them

Frequent nail issues and their signs embody the next:

1. Nail psoriasis

In line with the Nationwide Psoriasis Basis, roughly 50% of individuals with psoriasis can even have nail psoriasis. Nail psoriasis can have an effect on an individual’s fingernails or toenails.

Signs of nail psoriasis embody:

  • nail pitting, the place tiny dents seem within the nail
  • white, yellow, or brown discoloration
  • crumbling nails
  • separation of the nail from the finger or toe
  • blood beneath the nail
  • nail thickening
  • a buildup of particles beneath the nail
  • nail ridges
  • ache or tenderness


A dermatologist can deal with nail psoriasis by:

  • making use of potent corticosteroids to the nail
  • making use of calcipotriol, a cream used to deal with psoriasis
  • making use of tazarotene, a gel used to deal with psoriasis

Nail psoriasis could be difficult to deal with and should require a couple of sort of therapy. If stronger remedies are essential, a dermatologist might strive:

  • injecting corticosteroids into or close to the nail
  • performing laser therapy
  • performing PUVA, a remedy that entails exposing nails to UVA rays after soaking them in psoralen
  • utilizing remedy to deal with each pores and skin and nail psoriasis

2. Onychoschizia

Onychoschizia is the medical time period for nails which are brittle, splitting, delicate, or skinny. Onychoschizia is a standard nail downside and is extra seemingly to happen in females than in males.

Onychoschizia can happen as a consequence of:

  • repeated wetting and drying of nails
  • low humidity
  • frequent use of nail polish and nail polish remover
  • prolonged contact with detergent or cleansing merchandise
  • getting old
  • deficiencies of iron, zinc, or selenium


An individual can deal with onychoschizia by:

  • sporting rubber gloves when washing up or utilizing cleansing merchandise
  • utilizing much less nail polish and nail polish remover
  • taking the vitamin biotin
  • utilizing moisturizer

3. Onychogryphosis

Onychogryphosis, additionally referred to as ram’s horn nails, describes when an individual’s nail turns into thick and overgrown. Onychogryphosis generally happens on the massive toe of older adults.

Causes of onychogryphosis embody:

  • genetics
  • trauma
  • peripheral circulation problems
  • sporting improper footwear
  • foot abnormalities
  • pores and skin situations akin to psoriasis or ichthyosis

Signs of onychogryphosis embody:

  • thickened nails
  • yellow or brown discoloration
  • nails that curve abnormally
  • ache


An individual who has onychogryphosis might want to see a dermatologist or podiatrist to chop their nails. Sporting appropriate footwear can even assist with onychogryphosis.

Nonetheless, onychogryphosis can reoccur, so nail removing is the solely methodology to deal with it completely.

4. Ingrown toenails

Ingrown toenails happen when the nail begins to develop into the pores and skin of the toe.

Causes of ingrown toenails embody:

  • slicing toenails too quick or at angles
  • sporting sneakers which are too small
  • experiencing nail trauma
  • having a household historical past of ingrown toenails
  • having fungal infections

An individual with ingrown toenails might expertise the next on their toe:

  • ache and tenderness
  • swelling
  • redness
  • an infection


Remedies for ingrown toenails embody:

  • soaking the foot in heat water
  • slicing toenail straight throughout
  • gently massaging the nail
  • sporting snug sneakers
  • taking prescribed antibiotics
  • having surgical procedure to take away a part of the nail

5. Fungal infections

A fungal nail an infection happens when fungus enters an individual’s nail, often through a small crack. Fungal nail infections are extra seemingly to happen on toenails than the fingernails.

Causes of fungal nail infections embody:

  • nail harm
  • diabetes
  • a weak immune system
  • circulation issues
  • athlete’s foot

Signs of fungal nail infections embody:

  • yellow, white, or brown nail
  • cracked or fragile nail
  • thickened nail


Docs can deal with fungal nail infections with antifungal tablets or by surgically eradicating the nail.

6. Onycholysis

Onycholysis is when an individual’s nail begins to separate from their pores and skin. There could be many causes of onycholysis, together with:

  • fungal an infection
  • psoriasis
  • nail harm from aggressive manicure
  • iron deficiency
  • overactive thyroid
  • extended immersion in water

Onycholysis could cause white discoloration the place the nail has lifted from the pores and skin. If an infection happens, the nail might have inexperienced or yellow patches.


An individual can deal with onycholysis by:

  • eradicating the unattached nail
  • maintaining nails out of water
  • utilizing gloves when cleansing
  • taking remedy to deal with any an infection
  • utilizing a prescribed drying agent, akin to 3% thymol, after washing arms

7. Paronychia

Paronychia is an an infection on the base of the nail. There are two types of paronychia:

Acute paronychia

Acute paronychia happens as a consequence of an infection of the nail fold, the pores and skin on the base of the nail.

Signs of acute paronychia embody:

  • redness and swelling of the pores and skin on the base of the nail
  • ache
  • pus from the cuticle
  • fever
  • ache within the armpit glands

Continual paronychia

Repeated contact with irritants could cause power paronychia. Individuals who continually have moist arms are extra seemingly to have power paronychia. Continual paronychia typically begins on one nail and spreads to others.

Signs of power paronychia embody:

  • redness and tenderness on the base of the nail
  • white, yellow, or inexperienced pus discharge from the cuticle
  • distorted, ridged nails
  • yellow or inexperienced nails
  • brittle nails


An individual can deal with acute paronychia by:

  • utilizing soaks
  • making use of antibiotic lotions
  • taking antibiotic tablets
  • lancing any abscesses

Therapy for power paronychia consists of:

  • maintaining arms clear and dry
  • utilizing gloves when cleansing or working with chemical compounds
  • making use of topical lotions or lotions
  • taking antifungal medication

8. Punctate leukonychia

When small white spots seem on the nails, it’s referred to as punctate leukonychia. Trauma to the nail, akin to knocks or nail-biting, could cause punctate leukonychia.


Punctate leukonychia will ultimately disappear because the nail grows out.

9. Subungual hematoma

A subungual hematoma is a bruise that seems beneath the nail. Injuring the nail, akin to by stubbing a toe or sporting sneakers which are too tight, could cause subungual hematomas.

An individual with a subungual hematoma might discover:

  • ache and tenderness within the nail
  • lifting of the nail
  • spots of purple, purple, brown, or black on the nail


An individual can deal with a subungual hematoma by:

  • making use of ice wrapped in a fabric or towel to the nail
  • compressing the finger or toe with a bandage
  • resting
  • elevating the injured digit
  • taking ache remedy

A subungual hematoma ought to disappear because the nail grows out, which may take 6⁠–9 months.

An individual ought to search medical consideration if their subungual hematoma:

  • retains bleeding repeatedly
  • is extremely painful
  • happens alongside extreme injury to the bottom of the nail

A health care provider might X-ray the nail to examine for harm to the bone beneath it.

The physician may additionally lance the subungual hematoma whether it is inflicting strain to construct on the nail.

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