Nail dystrophy
☆ In the 2022 Stiftung Warentest results from Germany, consumer satisfaction with ModelDerm was only slightly lower than with paid telemedicine consultations.
Median nail dystrophy ― It is not caused by a fungal infection.
Nail dystrophy involving multiple fingers.
relevance score : -100.0%
ReferencesThe term trachyonychia, also known as twenty-nail dystrophy, is used to describe thin, brittle nails with excessive longitudinal ridging. The term twenty-nail dystrophy has been incorrectly applied to other conditions that can affect all twenty nails.
A 34-year-old man presented to his primary care physician with a 20-year history of painless bilateral thumbnail lesions. The patient had no history of nail trauma or infection. Both thumbs had a central linear depression in a fir tree pattern, surrounded by parallel transverse ridges.
While most nail cosmetics are generally safe, they can still lead to issues such as allergic reactions, irritations, infections, and mechanical problems. It's worth noting that many of nail cosmetic procedures are carried out by beauticians who may lack proper knowledge of nail anatomy and function, rather than dermatologists. Additionally, the hygiene practices in nail salons and beauty parlors vary, which can result in acute problems like paronychia and nail dystrophy due to matrix injury.
Nail dystrophy is often misdiagnosed as onychomycosis and treated unnecessarily. Before beginning antifungal therapy, the health‑care provider should confirm a fungal infection. Treating persons without an infection provides unnecessary health care and can cause needless side effects.
○ Treatment
Intralesional injection of a corticosteroid may be tried to treat nail dystrophy.
○ Treatment ― OTC Drugs
Avoid activities that can damage your toenails, such as playing soccer or hiking. Antifungal treatment is ineffective because onychodystrophy is not caused by a fungal infection.