Nail dystrophy - 指甲营养不良https://en.wikipedia.org/wiki/Nail_disease
指甲营养不良 (Nail dystrophy) 是由于未知炎症引起的指甲疾病或畸形。大约一半的疑似指甲真菌病例实际上没有真菌感染——只有指甲营养不良。

指甲营养不良经常被误诊为甲真菌病并接受治疗。在开始抗真菌治疗之前,医疗保健提供者应确认真菌感染。对没有感染的人进行治疗是不必要的医疗保健,并且会导致不必要的副作用。

治疗
可以尝试病灶内注射皮质类固醇来治疗指甲营养不良。

治疗 - 非处方药
避免可能损伤脚趾甲的活动,例如踢足球或徒步旅行。抗真菌治疗无效,因为甲营养不良不是由真菌感染引起的。

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  • Median nail dystrophy ― 这不是由真菌感染引起的。
  • 指甲营养不良 (Nail dystrophy) 涉及多个手指。
References Trachyonychia and Twenty-Nail Dystrophy: A Comprehensive Review and Discussion of Diagnostic Accuracy 27843915 
NIH
粗糙甲 (trachyonychia) 是指指甲又薄又脆,有过度的纵向脊线。有时,二十指甲营养不良 (twenty-nail dystrophy) 被错误地用来描述影响所有二十个指甲的其他情况。
The 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.
 Median nail dystrophy - Case reports 33318093 
NIH
一名34岁的男子因双拇指甲上有20年无痛的病变而去看医生。他没有指甲外伤或感染史。两只拇指的中部有一条线性凹陷,呈杉树形,周围有平行的横向脊线。
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.
 Nail cosmetics: What a dermatologist should know! 37317711
虽然大多数美甲化妆品通常是安全的,但它们仍然可能导致过敏反应、刺激、感染和机械问题等问题。值得注意的是,许多指甲美容手术是由可能缺乏指甲解剖学和功能知识的美容师而不是皮肤科医生进行的。此外,美甲店和美容院的卫生习惯各不相同,这可能会导致甲沟炎和因基质损伤而导致的甲营养不良 (nail dystrophy) 等急性问题。
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.