Onycholysis: Symptoms, Causes, and Treatments

Written by Medicover Team and Medically Reviewed by Dr Rajitha Alluri , Dermatologist

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Onycholysis is a condition where the nail detaches from the nail bed, leading to discoloration and potential discomfort. It can affect both fingernails and toenails. Early diagnosis and appropriate treatment are crucial to prevent complications and promote healthy nail regrowth.

What are the Symptoms and Warning Signs of Onycholysis?

Recognizing the signs of onycholysis early can aid in effective management.

Common Symptoms

• White or yellow discoloration at the nail's edge
• Nail lifting from the nail bed
• Brittle or thickened nails

Severe Symptoms

• Pain or discomfort in the affected nail
• Greenish discoloration indicating possible infection
• Foul odor from the nail area
• Fatigue

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What are the Types of Onycholysis

Onycholysis can be categorized based on its cause:

• Primary (Idiopathic) Onycholysis: Occurs without an identifiable cause.
• Secondary Onycholysis: Results from external factors like trauma, infections.

Additionally, morphological patterns include:

• Transversal: Separation across the nail width.
• Lateral: Separation along the sides of the nail.
• V-shaped: Separation forming a V-shape towards the nail center.
• Circular: Separation forming a circular

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What are the Common Causes and Risk Factors of Onycholysis?

Understanding the underlying causes and risk factors can help in prevention and treatment.

Causes

• Fungal infections (e.g., onychomycosis)
• Psoriasis affecting the nails
• Thyroid disorders (hyperthyroidism or hypothyroidism)
• Trauma or repetitive injury to the nail
• Allergic reactions to nail products

Risk Factors

• Frequent exposure to moisture or chemicals
• Use of artificial nails or nail hardeners
• Occupations involving manual labor

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How Is Onycholysis Diagnosed?

Diagnosis involves a combination of clinical evaluation and diagnostic tests

• Physical Examination: Assessing the appearance and extent of nail separation.
• Fungal Culture: Identifying fungal infections through nail clippings.
• Blood Tests: Checking for underlying conditions like thyroid disorders.

At Medicover Hospitals, our specialists utilize advanced diagnostic tools to determine the exact cause and provide prepared treatment plans.

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What are the Treatment Options for Onycholysis?

Treatment focuses on addressing the underlying cause and promoting nail reattachment.

Medical Treatments

• Antifungal medications for fungal infections
• Topical or systemic treatments for psoriasis

Home Care

• Keeping nails trimmed and clean
• Avoiding exposure to irritants and moisture

Professional Interventions

• Laser therapy for persistent cases
• Surgical removal in severe or unresponsive cases

Medicover Hospitals offers complete treatment options, ensuring optimal care and recovery.

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When to See a Doctor?

It's essential to consult a healthcare professional if:

• The nail condition persists or worsens over time.
• There's pain, swelling, or signs of infection.
• You have underlying health conditions that may complicate healing.

Early intervention can prevent complications and promote faster recovery.

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What is the Recovery Process After Onycholysis Treatment?

Recovery varies based on the underlying cause and treatment approach

• Nail Regrowth: It may take several months for the nail to reattach fully.
• Follow-Up: Regular check-ups to monitor progress and adjust treatments.
• Lifestyle Adjustments: Avoiding triggers and maintaining nail hygiene.

Medicover Hospitals provides continuous support, ensuring patients receive complete care throughout their recovery

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What Precautions Can Help Prevent Onycholysis?

Prevention

• Avoid excessive manicuring or use of harsh nail products.
• Wear protective gloves during activities involving water or chemicals.
• Maintain proper nail hygiene and keep nails trimmed.

Potential Complications if Untreated

• Permanent nail deformities
• Secondary infections
• Spread of underlying systemic

Proactive care and early intervention are key to preventing complications.

Our Experience Treating Onycholysis

At Medicover Hospitals, we prioritize patient-centric care. Our team of experienced dermatologists and specialists are dedicated to diagnosing and treating onycholysis with precision. Utilizing advanced facilities and individual treatment plans, we aim to restore nail health and improve patient well-being.

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