How do you treat dystrophic toenails?
Treatment includes filing or buffing of the nails, oral biotin supplements, urea nail preparations and triamcinolone injections into the nail matrix. Trachyonychia may also spontaneously resolve with time.
What is a dystrophic nail?
Dystrophic toenails are nails that become misshapen, thickened, or have a partially destroyed nail plate. Nails may become distorted by too much keratin in the nail plate and nail bed, causing the nail to lift off the underlying skin.
What causes Onychodystrophy?
The two are often seen together in patients with onychodystrophy. They are associated with a variety of conditions, such as psoriasis, onychomycosis, lichen planus, alopecia areata, endocrine disorders, drug photosensitivity, etc. Among them, local contact/irritant and trauma are the most common causes.
Why do toenails disappear?
In the case of a dermatophyte invasion, the nail may present with yellow discoloration distally. If the onycholysis is present for an unknown period, the nail bed will become keratinized and develop dermatoglyphics, which ultimately results in what we know as the disappearing nail bed.
What does spoon shaped nails mean?
Spoon nails (koilonychia) are soft nails that look scooped out. The depression usually is large enough to hold a drop of liquid. Often, spoon nails are a sign of iron deficiency anemia or a liver condition known as hemochromatosis, in which your body absorbs too much iron from the food you eat.
Can nail dystrophy be cured?
There is no specific treatment for twenty-nail dystrophy. It is a very difficult condition to treat and often results are unsatisfactory. Some treatments that have been tried include: Griseofulvin and other oral antifungal agents.
Is Onychodystrophy curable?
Thus, at least in part onychodystrophy is curable if antagonizing the pathogenetically relevant reason. However, about 20-30% of the patients must expect treatment failure or relapse following treatment of onychomycosis .
Why do I have thick stuff under my toenails?
Toenails that have grown thicker over time likely indicate a fungal infection, also known as onychomycosis. Left untreated, thick toenails can become painful. Prompt treatment is key to curing the nail fungus. Fungal infections can be difficult to cure and may require months of treatment.
How can I make my curved toenails grow straight?
The most important thing you can do is trim your toenails using a strong, sharp nail clipper. Cut each toenail to the point where it begins to curve upward. Cut the nail straight across without cutting the edges inward. It’s also important to leave the nail a little long to prevent it from growing inward.
What does it mean to have nail dystrophy?
Nail dystrophy involves partial or complete disruption of the various keratinous layers of the nail plate. Nail dystrophy may result from any traumatic or inflammatory process that involves the nail matrix, nail bed, or surrounding tissues.
Is there a treatment for twenty nail dystrophy?
There is no specific treatment for twenty-nail dystrophy. It is a very difficult condition to treat and often results are unsatisfactory. Some treatments that have been tried include: Treatment of any underlying cause/association should help resolve the defect of the nail.
Is there autosomal dominant pattern of inheritance in twenty nail dystrophy?
In some cases an autosomal dominant pattern of inheritance has been found; in one report twenty-nail dystrophy occurred in 4 males in 3 successive generations. Other cases of twenty-nail dystrophy are of unknown origin and begin gradually in early childhood. These cases tend to be self-limiting and may resolve slowly with age.
Can a tissue biopsy be used to diagnose nail dystrophy?
Nonfungal dystrophies may require a tissue biopsy of the nail plate or nail matrix to make a diagnosis. Nail dystrophy may resolve with treatment of the cause, but, if not, manicurists may be able to mask nail changes with appropriate trimming and polishes.