Nail disorders are judged differently from skin diseases and though nails are also a part of the skin adjunct, their symptoms and treatment vary. Onycholysis is one such deformity of the nails that may require medical attention sometimes.
Onycholysis is a loosening of the exposed portion of the nail from the nail bed, usually beginning at the free edge and continuing to the lunula. This nail disorder is often linked to an internal disorder, trauma, infection, nail fungi, allergy to nail enhancement products or to the side effects of drugs taken by the afflicted person. Onycholysis is a very common problem and involves a painless separation of the nail from the nail bed. Onycholysis is a warning sign of skin disease, an infection or the result of injury, but most cases are seen in women with long fingernails.
One way of determining Onycholysis has set in to check for signs of discoloration underneath the nail since this may occur as a result of secondary infection. The painless and spontaneous separation of the nail plate starts at the distal free margin and gradually progresses proximally. Larger portion of the nail may become opaque, get whitened or discolored to yellow or green and this calls for medical attention.
If the cause of Onycholysis is fungal infection, merely examination alone will not be enough to tell it apart and a test for fungus may be called for. Use of strong medications like Tetracycline, Minocycline, Naproxen make a person abnormally sensitive to light and such persons are at risk of getting sunburn under the nails, which causes Onycholysis. In extremely rare cases, all the nails are affected and then it can be a sign of iron deficiency or thyroid over-activity.
If there is noticeable discoloration underneath the nail, the cause may be a secondary infection and this may require the people to take some antibiotics to rid themselves of the underlying cause. Since Onycholysis is usually painless and the separation occurs gradually, it is only in rare cases that a person may experience severe discomfort. This is linked to trauma or the setting in of active infection.
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