Лечение онихолизиса

Onycholysis is a common type of onychodystrophy; it is characterized by a disruption of the connection between the plate and the bed, while the integrity of the latter is not violated. To visit a podologist at the K+31 clinic or consult with a specialist online, leave a request on this page.

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About the disease

Onycholysis is a pathological condition in which the nail plate separates from the bed. This disease causes not only aesthetic inconvenience, but also physical discomfort. It also serves as a risk factor for the development of secondary infections.

Onycholysis is not an independent pathology. It is often a symptom or consequence of dermatological problems and fungal infections.

Doctors distinguish traumatic onycholysis caused by mechanical damage and pathology caused by fungal or bacterial infections.

There is also dystrophic (is a manifestation of systemic diseases) and allergic onycholysis (occurs in response to contact with an allergen).

Onycholysis

Main symptoms

The first symptom of onycholysis is a change in the appearance and structure of the nail. It becomes duller and changes its natural color to white, yellow or gray. Gradually, the plate begins to separate from the nail bed, forming a space that is filled with air or liquid. Over time, nail peeling increases. In some cases, complete separation of the plate is observed.

Depending on the cause of the disease, additional symptoms are observed. For example, with a fungal infection, the nail thickens. A specific coating of unusual color forms under it. With dermatological problems, itchy redness of the skin around the nail may appear.

Causes

Injury is one of the most common causes of onycholysis. You can get damaged in the background:

  • Unsuccessful manicure.
  • Strong blow.
  • Falls.
  • Wearing tight shoes.

Onycholysis is closely related to onychomycosis – nail damage. The fungus causes changes in the structure of the plate. As a result, the nail begins to separate from the skin, and a void is created underneath it. Inappropriate care may also be a factor in the development of onycholysis. The disease develops against the background of frequent manicure procedures using aggressive substances, the use of low-quality varnish or nail polish remover, and wearing tight shoes.

Psoriasis, eczema, and atopic dermatitis also often provoke onycholysis. In addition, its appearance can be influenced by systemic diseases such as liver cirrhosis, anemia, or diabetes.

In some cases, onycholysis is a sign of serious diseases, including cancer. Neoplasms located in the nail bed area cause pressure on the plate and provoke its subsequent peeling.

General information about the treatment of onycholysis

Diagnostics

Diagnosis of onycholysis of toenails and fingernails begins with a careful history taking. Next, a visual inspection of the diseased area is carried out. If a fungal infection is suspected, the doctor will refer the patient for a microscopic examination of a fragment of the nail plate or the contents under it.

In some cases, bacterial culture of the contents under the nail is carried out. In particular, it allows you to determine the presence and type of bacterial infection. This is especially important if there are symptoms of inflammation.

If necessary, the patient is prescribed a biochemical blood test, ultrasound or allergen tests. This allows you to establish possible systemic causes of onycholysis, as well as assess your overall health.

Features of treatment

Treatment of onycholysis is aimed at eliminating the factor that provoked the disease. The process includes:

  • Treatment of the underlying disease.
  • Undertaking therapy (antimycotic, antibacterial or anti-inflammatory).
  • Lifestyle adjustments;
  • Proper nail care.

Local treatment of onycholysis includes the use of a variety of creams, ointments, and varnishes that have antifungal, anti-inflammatory and regenerating effects. The use of such drugs can reduce inflammation, speed up healing and restore the nail plate.

In some cases, drug therapy is prescribed. This is especially true in the presence of a fungal infection, as well as in systemic pathologies.

Physiotherapy procedures help speed up the healing process and improve microcirculation in tissues. They also help eliminate the inflammatory process.

In cases where the plate has completely peeled off, surgical treatment is required - removal of the nail.

Prevention

Proper nail care includes using quality manicure products, maintaining good hygiene and wearing comfortable shoes.

To strengthen the immune system and prevent the development of systemic pathologies that contribute to the development of onycholysis, it is recommended to eat properly, maintain a healthy lifestyle, undergo periodic examinations and follow the doctor’s recommendations.

Why does onycholysis take a long time to go away?

There are several reasons why onycholysis may not go away for a long time.

Many people consult a doctor only when the disease is seriously advanced and requires long-term therapy. If the treatment was initially chosen incorrectly or the patient violated medical recommendations, there is a risk of relapse. To prevent this, it is important to strictly follow the doctor's instructions and not stop using medications even if improvement is observed.

Onycholysis is often a concomitant symptom of diabetes or psoriasis. Its symptoms are present if the underlying disease is not treated.

Onycholysis therapy requires an individual approach and often takes considerable time. However, with proper treatment and following all the specialist’s recommendations, the chances of a full recovery are very high.

Our doctors
Marchenko
Elena Viktorovna
Head of the center for podology and mycology, dermatovenerologist, podologist, cosmetologist
Kozak
Lev Ilyich
Traumatologist-orthopedist, chiropractor
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Reviews 1
An excellent specialist and professional. Polite and courteous doctor. I have been visiting Lyubov Viktorovna for 4 months now. I have diabetes 2 and have foot problems. She helped me a lot. Thanks a lot!
26.02.2024
Victoria Nikolaevna Golovko
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