Effective treatment depends on the reason for onycholysis

Onycholysishappens when the nail plate separates from the nail bed.

This photo contains content that some people may find graphic or disturbing.

So can any trauma injury that led to symptoms.

onycholysis

DermNet /CC BY-NC-ND

Causes of Onycholysis

Onycholysis can be a sign of many differentnail traumasor conditions.

An untreated fungal infection can lead to pain, discomfort, and even permanent disfigurement of the finger.

Some people may want to treat onycholysis with tea tree oil and other remedies.

onycholysis causing onychomycosis

DermNet /CC BY-NC-ND

More research is needed, however, to determine if these integrative medicine options are effective.

Effective treatments for onycholysis sparked by psoriasis include biologics, systemic medications that are most commonly administered by injection.

Some medications can lead to changes without sun exposure.

psoriatic onycholysis

DermNet /CC BY-NC-ND

Increasing iron levels or treating hyperthyroidism may permit the nails to grow back normally.

Hereditary Distal Onycholysis

In rare cases, a genetic disorder leads to onycholysis.

A dermatologist may use a dermascope to magnify the nail, which can be especially helpful in diagnosing onycholysis.

Is Onycholysis a Sign of Cancer?

An underlying illness that leads to the nail changes will require treatment.

In other cases, a drug-induced photosensitivity may mean it’s crucial that you stop taking oral retinoids.

Be sure to talk with your healthcare provider before making any changes in your medications or dosages, though.

They will explain the treatment options for your specific diagnosis.

An isolated injury may heal on its own but treatment typically is needed for other causes.

There is very little that can be done in this situation other than camouflaging the nail with polish.

How Do I Prevent Onycholysis?

Keeping your nails clean and trimmed, and avoiding injury, may limit onycholysis risk.

Keeping nails dry helps to avoid fungal infections.

Wear gloves when around water and dry your hands and feet thoroughly whenever they get wet.

Summary

Onycholysis is a nail condition that triggers when the nail plate separates from the nail bed.

Diagnosis will mean ruling out other possible causes.

Your healthcare provider may order tests along with an examination to confirm a diagnosis.

Prevention, including nail hygiene, is an important part of home care.

Piraccini BM, Alessandrini A.Onychomycosis: A review.J Fungi (Basel).

2015 Mar;1(1):30-43. doi:10.3390/jof1010030

Queller JN, Bhatia N.The dermatologist’s approach to onychomycosis.

J Fungi (Basel).

2015;1(2):173-184. doi:10.3390/jof1020173

DermNet.Onycholysis.

American Academy of Dermatology.12 nail changes a dermatologist should examine.

American Academy of Family Physicians.Onychomycosis: Rapid evidence review.

Lee DK, Lipner SR.Optimal diagnosis and management of common nail disorders.Ann Med.

2022 Dec;54(1):694-712. doi: 10.1080/07853890.2022.2044511.

2015;10:265-7. doi:10.2147/CIA.S75525

Singal A, Arora R.Nail as a window of systemic diseases.

Indian Dermatol Online J.

2015;6(2):67-74. doi:10.4103/2229-5178.153002

Al-Kathiri L, Al-Asmaili A.Diclofenac-Induced Photo-Onycholysis.

2021 Jul-Aug;66(4):424-425. doi: 10.4103/ijd.IJD_265_19.

Starace M, Alessandrini A, Piraccini BM.Dermoscopy of the Nail Unit.Dermatol Clin.

2021 Apr;39(2):293-304. doi: 10.1016/j.det.2020.12.008.

2024 Mar 28;16(1):88-93. doi: 10.1159/000538087.

Hillson R.Nails in diabetes.Pract Diabet.

2020 Feb;10(1):15-27. doi:10.1007/s13555-019-00338-x