What is Onycholysis or Lifting Nail?
Onycholysis is a common nail disorder characterized by the detachment of the nail plate from the nail bed. This condition can affect one or more nails and may lead to discomfort, cosmetic concerns, and increased risk of secondary infections.
Causes of Onycholysis:
Onycholysis can be caused by various factors, including:
Trauma: Trauma to the nails, such as excessive manicuring, aggressive nail trimming, or repetitive impact on the nails, can lead to onycholysis.
Chemical exposure: Exposure to harsh chemicals found in nail polish, nail polish removers, household cleaning products, or industrial chemicals can weaken the nail plate and cause it to detach from the nail bed.
Fungal infections: Fungal nail infections, such as onychomycosis, can contribute to the development of onycholysis by compromising the integrity of the nail structure.
Psoriasis: Psoriasis, a chronic inflammatory skin condition, can affect the nails and cause onycholysis as a result of inflammation and changes in nail growth.
Systemic diseases: Systemic conditions such as thyroid disease, autoimmune disorders, and nutritional deficiencies may manifest with nail abnormalities, including onycholysis.
Symptoms of Onycholysis:
The symptoms of onycholysis may vary depending on the underlying cause and severity of the condition. Common symptoms may include:
Separation of the nail plate from the nail bed, starting from the free edge and progressing towards the cuticle
Whitish or yellowish discoloration of the affected nail
Thickening or brittleness of the nail plate
Pain or tenderness around the edges of the detached nail
Accumulation of debris or fungal growth underneath the separated nail
Diagnosis of Onycholysis:
Diagnosing onycholysis typically involves a physical examination and evaluation of the affected nails by a healthcare professional. In some cases, additional tests such as fungal culture, nail biopsy, or blood tests may be recommended to determine the underlying cause of the condition.
Treatment Options for Onycholysis:
The treatment approach for onycholysis depends on the underlying cause and severity of the condition. Treatment options may include:
Addressing underlying factors: Identifying and addressing the underlying cause of onycholysis, such as fungal infections, systemic diseases, or chemical exposure, is essential for effective management.
Conservative measures: Conservative treatment options may include gentle nail care practices, such as avoiding trauma to the nails, keeping the nails clean and dry, and avoiding exposure to harsh chemicals.
Topical medications: In cases of fungal nail infections, topical antifungal medications may be prescribed to treat the infection and prevent further nail damage.
Oral medications: Oral antifungal medications or systemic medications to treat underlying systemic conditions may be prescribed in certain cases.
Surgical intervention: In severe cases of onycholysis or when conservative measures fail to provide relief, surgical removal of the affected nail or part of the nail plate may be necessary.
Prevention of Onycholysis:
Preventing onycholysis involves practicing good nail care habits and taking steps to avoid potential triggers. Tips for preventing onycholysis include:
Avoiding excessive manicuring or aggressive nail trimming
Using gentle nail care products and avoiding exposure to harsh chemicals
Wearing protective gloves when handling chemicals or engaging in activities that may traumatize the nails
Seeking prompt treatment for underlying nail infections or systemic conditions
Conclusion:
Onycholysis is a common nail disorder characterized by the detachment of the nail plate from the nail bed. While onycholysis may be unsightly and uncomfortable, it is often manageable with appropriate treatment and preventive measures. If you suspect you have onycholysis or are experiencing symptoms of nail abnormalities, it's important to consult with a healthcare professional for accurate diagnosis and personalized treatment recommendations. Early intervention can help prevent complications and promote healthy nail growth.
