The term onycholysis indicates the gradual and painless detachment of the nail on the side of the finger on which it rests. The most common cause of this situation is a trauma, however minor, but it is not impossible to be a disorder associated with the modification of its form or the soft tissue that surrounds it. Also an excessive moisture and the combined action of certain drugs (such as tetracycline), and sun exposure can lead onycholysis.
The signs of detachment are the irregularity of the border between the pink and the white part the nail, the opacification of the good part of the nail and, in some case, the accumulation of thickened skin under its edge and irregularity of its surface.
What kind of diseases can be associated with onycholysis?
The following diseases may be associated with onycholysis:
- Dermatophytosis
- Hyperthyroidism
- Lichen planus
- Onychomycosis
- Psoriasis
Remember that this is not an exhaustive list and it is highly recommended to consult your doctor, in case of symptom’s persistence.
What is the therapy for onycholysis?
The treatment of onycholysis depends on their association with a specific disease. In case of mycosis your doctor may decide to remove a sample of tissue from under the nail to identify the fungus responsible for the infection. Later on you may need to take medication. Taking medication may be an option in case of hyperthyroidism or psoriasis.
In all cases, only time will allow the nail to regain its original appearance. It can take 4 to 6 months grow back completely.
While waiting for the problem to be resolved, it is good to cure the fingernail, keep it short and cut it carefully.
When is most likely to contact your doctor in case of onycholysis?
Onycholysis is not a medical emergency. However, it is good to talk with your doctor at the first available opportunity.
