![]() Onycholysis only goes away after new nail has replaced the affected area. The portion of nail that has separated from the skin surface beneath it will not reattach. Nails are slow to grow and take time to repair themselves. This sample can be tested in a laboratory to check for fungus. If your doctor suspects that a fungal infection is the cause of nail changes, he or she might scrape a sample of tissue from beneath the nail plate. He or she also will examine you to check for evidence of skin rashes or thyroid problems. If the cause of onycholysis is not obvious, your doctor will note additional characteristics of your nails, such as their shape and color, the presence of indentations in the nail surface, and the appearance of the skin under and around the nail. Your doctor will be able to confirm that you have onycholysis by examining your fingernails or toenails. Depending on the cause of onycholysis, the nail may have collected thickened skin underneath the edge of its nail plate, and the nail plate may have a deformed shape with pits or indentations in the nail surface, a bent nail edge or coarse thickening of the nail. A greater portion of the nail is opaque, either whitened or discolored to yellow or green. Working with your fingers or toes in a wet environmentĪ nail that has lifted from its bed at its end can have an irregular border between the pink portion of the nail and the white outside edge of the nail.An overactive thyroid gland and iron deficiency are two other medical conditions that are associated with onycholysis.After exposure to some medicines (notably medicines from the psoralen, tetracycline or fluoroquinolone groups) the nail can react to sun exposure by lifting away from its bed.Certain skin conditions, including allergic reactions and psoriasis are common causes of onycholysis.Fungal infections of the nails thicken the tissue immediately underneath the nail plate and cause edge of the nail to lift.In these situations, the nail cannot attach smoothly to the nail bed. Some medical conditions can cause onycholysis, generally by changing the nail's shape or the contour of the soft tissue bed beneath it. Too much moisture also can cause the problem. ![]() Onycholysis also can be caused by manicure tools that are pushed beneath the nail to clear dirt or smooth the nail. Even slight trauma can cause onycholysis when it happens repetitively - for example, the daily tapping of long fingernails on a keyboard or counter. The most common cause of onycholysis is trauma. The separation occurs gradually and is painless. Onycholysis is the separation of a fingernail or toenail from its pink nail bed. If a recurrence does occur, it is most likely because the physician did not remove enough soft tissue around the nail the first time the surgery was done.Medically reviewed by. ![]() If the surgery is performed correctly, with a generous amount of soft tissue removed, the problem will not recurr. Chapeskie has had no recurrences and all patients have had excellent cosmetic results! The Vandenbos Surgery has been very successful - Dr. Removing all or part of a normal toenail often results in poor cosmetic appearance. Surgeries that remove all or part of the toenail for patients with Overgrown Toeskin can lead to a higher chance of infection, requiring the use of antibiotics and most often do not fix the problem. Other procedures can leave the nail deformed and the problem usually returns. Excellent cosmetic result is achieved for the toe. This means that the nail looks normal after the surgery. Unlike other procedures used to treat Ingrown Toenails, the Vandenbos Surgery does not touch the nail. Why should the Vandenbos Surgery be used instead of other treatments?
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