Description
Onycholysis is a condition where the nail separates from the nail bed. The nail will appear white starting at the tip of the nail. It is associated with trauma, working in wet environments, psoriasis, fungal nail infections (onychomycosis) or medications. Multiple diseases are associated with this condition.
Symptoms
Smooth, firm, painless nail with separation of tip of the nail moving closer to the base of the nail. The area of separation is commonly white but if it is any other discoloration, there may be an infection.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed. Fungal culture and potassium wet mount (KOH) may be performed to check for yeast and other fungal infections. Blood tests may be done to rule out other causes.
Tests:
Fungal culture, KOH Test
Specialists:
Internal Medicine, Dermatology, Pediatrics, Family Practice, Pediatric Dermatology, Telemedicine Dermatology
Workup:
A history and physical exam will be performed. Fungal culture and potassium wet mount (KOH) may be performed to check for yeast and other fungal infections. Blood tests may be done to rule out other causes.
Tests:
Fungal culture, KOH Test
Specialists:
Internal Medicine, Dermatology, Pediatrics, Family Practice, Pediatric Dermatology, Telemedicine Dermatology
Treatment
Treatment varies but always includes avoiding trauma, keeping nails short, dry and avoiding all contact irritants. Antifungal treatment will be administered if there is a fungal infection. Any underlying disease will also need to be treated.