Nail dystrophy - 指甲營養不良https://en.wikipedia.org/wiki/Nail_disease
指甲營養不良 (Nail dystrophy) 是由於未知發炎引起的指甲疾病或畸形。大約一半的疑似指甲真菌病例實際上沒有真菌感染,只有部分是指甲營養不良。

指甲營養不良常被誤診為甲真菌病並接受治療。在開始抗真菌治療之前,醫療保健提供者應先確認是否有真菌感染。對沒有感染的患者進行治療屬於不必要的醫療,且可能帶來不必要的副作用。

治療
可考慮在病灶內注射皮質類固醇以治療指甲營養不良。

治療 - 非處方藥
避免可能傷害腳趾甲的活動,例如踢足球或遠足。抗真菌治療無效,因為指甲營養不良不是由真菌感染所致。

☆ 德國 Stiftung Warentest 2022 年的結果顯示,消費者對 ModelDerm 的滿意度僅略低於付費遠距醫療諮詢。
  • Median nail dystrophy ― 這不是由真菌感染引起的。
  • 指甲營養不良 (Nail dystrophy) 涉及多個手指。
References Trachyonychia and Twenty-Nail Dystrophy: A Comprehensive Review and Discussion of Diagnostic Accuracy 27843915 
NIH
粗甲,或稱 twenty-nail dystrophy,是指指甲變薄且脆弱,伴有多條縱向脊。有時,twenty-nail dystrophy 這個詞會被誤用於描述其他影響全部二十指甲的情況。
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 歲男子因兩側拇指指甲上出現已持續 20 年且無痛的腫塊而就診。他不記得指甲曾受過外傷或感染。兩隻大拇指的指甲中部呈現一條筆直的凹槽,形狀似杉樹,表面有紋路。
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
雖然大多數美甲化妝品通常是安全的,但它們仍可能引起過敏反應、刺激、感染以及機械性問題。值得注意的是,許多指甲美容手術是由可能缺乏指甲解剖學與功能知識的美容師,而非皮膚科醫師執行。此外,美甲店與美容院的衛生習慣參差不齊,可能導致甲溝炎以及因基質損傷引起的指甲營養不良等急性問題。
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.