What are the common diseases affecting toenails. How can you identify nail psoriasis, brittle nails, and fungal infections. What treatments are available for various nail conditions.

Nail Psoriasis: Understanding the Impact on Toenails

Nail psoriasis is a condition that can significantly affect the appearance and health of toenails. It occurs when psoriasis, an autoimmune skin disorder, impacts the nail bed or surrounding areas. This condition can lead to various noticeable changes in the nails, causing discomfort and cosmetic concerns for those affected.

Recognizing the Symptoms of Nail Psoriasis

Identifying nail psoriasis early is crucial for effective management. The symptoms can vary, but often include:

• Crumbling or denting of the nail surface
• Pitting or small depressions in the nail
• Discoloration, typically turning nails yellow or brown
• Accumulation of skin cells under the nail
• Subungual hyperkeratosis (thickening of the nail bed)
• Onycholysis (separation of the nail from the nail bed)

These symptoms can occur on both fingernails and toenails, though toenails may be more severely affected due to their slower growth rate and increased exposure to friction from shoes.

Treatment Options for Nail Psoriasis

Managing nail psoriasis often requires a multifaceted approach. Treatment options may include:

1. Topical corticosteroid creams to reduce inflammation
2. Tazarotene, a retinoid that can help with pitting and discoloration
3. Calcipotriol, effective in treating nail bed hyperkeratosis
4. Corticosteroid injections for severe cases
5. Laser therapy to target affected areas

Is nail psoriasis curable. While there is no definitive cure for nail psoriasis, these treatments can significantly improve symptoms and nail appearance. It’s essential to consult with a dermatologist to develop a personalized treatment plan that addresses individual needs and severity of the condition.

Brittle Splitting Nails: Causes and Solutions

Brittle splitting nails, medically known as onychoschizia, is a common nail condition that affects many individuals. This condition can make nails soft, thin, and prone to breaking or peeling, causing frustration and discomfort for those experiencing it.

Understanding the Causes of Brittle Nails

Several factors can contribute to the development of brittle nails:

• Frequent exposure to water and harsh chemicals
• Nutritional deficiencies, particularly iron
• Underlying health conditions
• Aging process
• Dehydration of the nail plate

How can you differentiate between internal and external causes of brittle nails. If the condition affects both fingernails and toenails, it’s likely due to an internal factor. External causes typically only impact fingernails, which are more exposed to environmental stressors.

Effective Treatments for Brittle Nails

Addressing brittle nails often involves a combination of lifestyle changes and targeted treatments:

1. Regular moisturizing of nails and surrounding skin
2. Wearing gloves when exposed to water or chemicals
3. Consuming a balanced diet rich in biotin and iron
4. Using nail hardeners or strengtheners
5. Avoiding harsh nail products and excessive filing

Can brittle nails be a sign of a more serious condition. While often benign, persistent brittle nails can sometimes indicate underlying health issues such as thyroid disorders or anemia. If symptoms persist despite home remedies, it’s advisable to consult a healthcare professional for a thorough evaluation.

Onychogryphosis: The Ram’s Horn Nail Condition

Onychogryphosis, colloquially known as “Ram’s horn nails,” is a condition characterized by abnormal, thickened nail growth. This condition primarily affects the toenails, particularly the big toe, and can cause significant discomfort if left untreated.

Identifying Onychogryphosis

The hallmark of onychogryphosis is the distinctive appearance of the affected nail:

• Extremely thickened nail plate
• Curved or horn-like growth pattern
• Discoloration, often yellowish or brownish
• Uneven growth, with one side growing faster than the other

Why does onychogryphosis occur. The condition can be triggered by various factors, including genetics, injury to the nail bed, circulatory issues, and underlying skin conditions like psoriasis or ichthyosis. Age-related changes in nail growth can also contribute to its development.

Managing and Treating Onychogryphosis

Dealing with onychogryphosis requires professional intervention and ongoing care:

1. Regular trimming and filing by a podiatrist or dermatologist
2. Use of professional-grade nail clippers or grinders
3. Application of emollient creams to soften the nail
4. In severe cases, partial or complete nail avulsion (removal)
5. Addressing underlying circulatory issues if present

Is onychogryphosis reversible. While the condition can be managed, complete reversal is challenging. The focus of treatment is typically on controlling growth, preventing complications, and improving the nail’s appearance. In some cases, permanent removal of the nail matrix may be necessary to prevent regrowth.

Ingrown Toenails: Prevention and Treatment Strategies

Ingrown toenails are a common and often painful condition where the edge of the nail grows into the surrounding skin. This can lead to discomfort, inflammation, and in some cases, infection. Understanding the causes and treatment options is crucial for managing this condition effectively.

Common Causes of Ingrown Toenails

Several factors can contribute to the development of ingrown toenails:

• Improper nail trimming techniques
• Wearing shoes that are too tight or narrow
• Genetic predisposition to curved nail growth
• Injury to the toe or nail
• Repetitive pressure from certain activities or sports

How can you prevent ingrown toenails. Proper nail care is key to prevention. This includes cutting nails straight across rather than curved, avoiding cutting them too short, and wearing shoes that provide adequate space for toes.

Effective Treatments for Ingrown Toenails

The approach to treating ingrown toenails depends on the severity of the condition:

1. Soaking the affected foot in warm water several times daily
2. Gently lifting the ingrown edge and placing cotton under it
3. Using over-the-counter pain relievers to manage discomfort
4. Wearing open-toed shoes or sandals to reduce pressure
5. In severe cases, partial nail avulsion or matricectomy by a podiatrist

When should you seek medical attention for an ingrown toenail. If you experience severe pain, signs of infection (such as pus or redness extending up the toe), or if you have diabetes or poor circulation, it’s important to consult a healthcare professional promptly to prevent complications.

Nail Fungal Infections: Identification and Management

Nail fungal infections, also known as onychomycosis, are a prevalent condition affecting both fingernails and toenails. These infections can cause significant changes in nail appearance and structure, and if left untreated, can lead to more serious complications.

Recognizing Nail Fungal Infections

Identifying a fungal nail infection early is crucial for effective treatment. Common signs include:

• Thickening of the nail plate
• Discoloration (often yellow, brown, or white)
• Brittle or crumbly texture
• Distortion of nail shape
• Separation of the nail from the nail bed (onycholysis)
• Accumulation of debris under the nail

Why are toenails more susceptible to fungal infections than fingernails. Toenails provide a more favorable environment for fungal growth due to the warm, moist conditions inside shoes. Additionally, reduced blood circulation in the feet can make it harder for the body to fight off infections in this area.

Treatment Options for Nail Fungus

Treating nail fungal infections can be challenging and often requires patience. Available treatments include:

1. Topical antifungal medications (creams, gels, or nail lacquers)
2. Oral antifungal drugs for more severe or resistant cases
3. Laser therapy to target the fungus directly
4. Removal of the infected nail in extreme cases
5. Combination therapies for enhanced efficacy

How long does it take to treat a nail fungal infection. Treatment duration can vary significantly, often taking several months to a year for complete resolution. This is due to the slow growth rate of nails, particularly toenails, which can take up to 18 months to grow out fully.

Onycholysis: When Nails Separate from the Nail Bed

Onycholysis is a condition characterized by the painless separation of the nail from its bed, starting at the tip and potentially progressing towards the cuticle. This separation can affect both fingernails and toenails, leading to cosmetic concerns and increased risk of secondary infections.

Understanding the Causes of Onycholysis

Various factors can contribute to the development of onycholysis:

• Physical trauma or injury to the nail
• Chemical exposure from nail products or cleaning agents
• Allergic reactions to nail care products
• Underlying skin conditions like psoriasis or eczema
• Fungal or bacterial infections
• Certain medications or medical treatments

Can onycholysis occur without any underlying condition. While often associated with other health issues, onycholysis can sometimes occur due to external factors alone, such as prolonged exposure to water or excessive manicuring.

Managing and Treating Onycholysis

The approach to treating onycholysis depends on its underlying cause:

1. Identifying and addressing the root cause (e.g., treating psoriasis or stopping irritant exposure)
2. Keeping the affected nail clean and dry to prevent secondary infections
3. Trimming the separated portion of the nail to prevent further lifting
4. Using topical antifungal or antibacterial treatments if infection is present
5. Avoiding activities that may exacerbate the condition, such as frequent water exposure or nail biting

How long does it take for a nail affected by onycholysis to heal. The healing process can be lengthy, often taking several months as the nail gradually grows out. Complete resolution may not occur until the entire affected nail has been replaced by new growth, which can take up to a year for toenails.

Preventive Measures for Maintaining Healthy Nails

Maintaining healthy nails is an essential aspect of overall health and well-being. By adopting proper nail care practices and lifestyle habits, you can significantly reduce the risk of developing various nail conditions and promote strong, healthy nail growth.

Essential Tips for Nail Health

Implementing these preventive measures can help keep your nails in optimal condition:

• Keep nails clean and dry to prevent bacterial and fungal growth
• Trim nails regularly and straight across to prevent ingrown nails
• Use moisturizer on nails and cuticles to prevent brittleness
• Wear protective gloves when working with water or chemicals
• Avoid biting nails or picking at cuticles
• Choose breathable footwear to reduce moisture around toenails

How does diet affect nail health. A balanced diet rich in biotin, protein, and essential minerals like iron and zinc can significantly improve nail strength and growth. Foods such as eggs, nuts, whole grains, and leafy greens are particularly beneficial for nail health.

When to Seek Professional Help

While many nail issues can be managed at home, certain situations warrant professional attention:

1. Persistent discoloration or changes in nail shape
2. Signs of infection, such as redness, swelling, or pus
3. Nail separation that doesn’t improve with home care
4. Chronic pain or discomfort around the nails
5. Thickening or distortion of nails that interferes with daily activities

Can regular pedicures help prevent toenail problems. While professional pedicures can contribute to nail health by keeping nails trimmed and moisturized, it’s crucial to ensure that the salon follows proper hygiene practices to prevent infections. Additionally, excessive manipulation or use of harsh chemicals during pedicures can sometimes lead to nail damage, so moderation is key.

By understanding the various conditions that can affect toenails and implementing proper care strategies, you can maintain healthy, attractive nails and prevent many common nail problems. Remember that early intervention is often key to successful treatment, so don’t hesitate to consult a healthcare professional if you notice persistent changes in your nails’ appearance or health.

Nail diseases chart: Pictures, symptoms, and treatments

The following are diseases that commonly affect the nails:

Nail psoriasis

Nail psoriasis can cause nail denting or crumbling.

Causes

People living with psoriasis may develop symptoms. It occurs when psoriasis affects the skin of the nail bed or near the nail beds.

Symptoms

Potential symptoms include:

• crumbling nails
• pitting
• changes in color to yellow or brown
• a build-up of skin under the nails
• blood under the nails
• the nail separates from the bed

Treatments

People should talk to their doctor if they live with psoriasis and notice symptoms on their fingernails. Treatments may include:

• strong corticosteroid cream
• tazarotene, to treat pitting and discoloration
• calcipotriol, to treat build-up under the nail
• injections of corticosteroids
• laser treatment

Learn more about nail psoriasis here.

Brittle splitting nails

Brittle splitting nails, or onychoschizia, is a common issue that dermatologists see. The condition can cause brittle, soft, splitting, or thin nails.

Causes

Common causes of brittle nails are repeatedly wetting and drying the nails. Though less common, other causes may include iron deficiency or underlying illness.

Symptoms

The most common symptom is that the nails break easily. The American Osteopathic College of Dermatology state people can often tell if the cause is internal, as the condition affects both fingernails and toenails. If there is an external cause, symptoms will typically only affect the fingernails.

Treatments

The most common remedy is for people to use moisturizer, and keep the nails protected from chemicals and repeated exposure to water.

Onychogryphosis

Onychogryphosis is a condition where the nail becomes overgrown and thick, often affecting the big toe. It can cause one portion of the nail to grow longer than the other part.

Causes

Potential causes of onychogryphosis include:

• genetics
• injury
• circulation issues
• psoriasis
• ichthyosis

Symptoms

When a person has onychogryphosis, the nail grows very thick. In other cases, a portion of the nail may grow larger than the other part. The growth can resemble a ram’s horn, so people often refer to it as Ram’s horn nails.

Treatments

A person will likely need to see a podiatrist or dermatologist, to help cut the nail. They may be able to show the person how to do this at home. People may need several trips to the doctor to cut it back and let it regrow. The only permanent treatment is the removal of the nail bed.

Ingrown toenails

An ingrown toenail can cause pain and swelling, and in some cases, they can become infected.

Causes

According to the American Academy of Orthopaedic Surgeons, genetics may play a role in the development of ingrown toenails. Also, there are other potential causes, including:

• not keeping nails trimmed
• wearing tight socks or shoes
• physical injury

Symptoms

Symptoms can include:

• swelling and tenderness
• redness
• soreness
• pus

Treatments

Treatments may include:

• surgery
• soaking the nail in warm water 3 to 4 times each day
• wearing comfortable shoes
• keeping the foot dry
• taking acetaminophen or ibuprofen for pain

Learn more about ingrown toenails here.

Nail fungal infections

Nail fungal infections are a common condition that causes the nails to become thick, discolored, and easier to break. Nail fungus is more common in the toes than fingers.

Causes

Several different types of molds and fungus can affect nails. They grow when a crack or break traps fungi between the nail and the nail bed.

Sweat, athlete’s foot, and salon manicures and pedicures can put people at higher risk of nail fungal infections.

Symptoms

Symptoms include:

• thick nails
• discolored nails that are brown, yellow or white
• fragile or cracked nails

Fungus under the nails often is not painful.

Treatments

Remedies typically involve the use of antifungal medication. People may need a prescription, or a doctor can fully remove the nail.

According to the Centers for Disease Control and Prevention (CDC), it can take more than a year for successful treatment.

Learn more about nail fungal infections.

Onycholysis

Onycholysis is when the toe or fingernail painlessly separates from the nail bed. It typically occurs slowly over time and could result from an underlying health condition or injury.

Causes

The most common cause is from local injury to the nail. Other triggers include:

• excessive filing
• exposure to chemicals
• allergic contact dermatitis
• submersion in water

Psoriasis, fungal infections, and reactions to certain medications are also common causes.

Symptoms

The main symptom of onycholysis is the separation of the nail from the nail bed. This can result in discoloration of the nail, turning it green, yellow, or opaque. It can also cause additional skin tissue under the nail, nail pitting, nail thickening, or bending of the nail edges.

Treatments

Management varies based on the exact cause of the onycholysis. Some potential treatments could include:

• treating psoriasis with oral or other medications
• treating iron deficiency
• oral antifungal treatments

Prevention is also important. Harvard Health Publishing recommend people take the following steps:

• keeping their nails trimmed
• using rubber gloves when submerging hands in water for long periods
• avoiding harsh chemicals
• treating underlying conditions

Learn more about onycholysis here.

Paronychia

Paronychia is an infection that causes redness and swelling around the edges of a nail bed.

Causes

There are two types of paronychia: acute and chronic. Acute paronychia occurs when there is an infection due to direct or indirect trauma to the cuticle or nail fold. Chronic paronychia is often the result of allergens or irritants.

Symptoms

Acute paronychia symptoms can include:

• swelling
• pain
• redness
• fever and gland pain in severe cases
• yellow pus

Chronic paronychia often starts on one nail and spreads to others. The nail folds may have the following symptoms:

• redness
• pain
• swelling
• yellow or green pus
• lifting of the nail from the bed
• tenderness

Treatments

Treatments vary based on the cause of the paronychia. For acute cases, the options may consist of:

• warm compresses
• topical antibiotics
• corticosteroids
• oral antibiotics
• surgical incision and drainage, in severe cases

To manage chronic paronychia, a doctor will typically treat the underlying cause of the inflammation. This can include avoiding allergens and irritants. Treatment can take several weeks to months.

Learn more about paronychia here.

People should talk to their doctor if they notice changes to their nails. A medical professional can diagnose the condition and recommend suitable treatment.

If someone undergoes treatment for a nail disease and there is no improvement, or new symptoms develop, they should seek medical advice.

Many diseases can affect the nails. Treatments typically involve preventing further nail damage and treating the underlying condition.

Nail disorder images | DermNet

DermNet provides Google Translate, a free machine translation service. Note that this may not provide an exact translation in all languages

Created 2019.

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Acrocyanosis

Acrodermatitis continua of Hallopeau

Acrodermatitis continua of Hallopeau

Antisynthetase syndrome

Beau lines

Candida onychomycosis

Nail clubbing associated with lung cancer

Nail clubbing associated with lung cancer

Clubbing of the fingers

Cutaneous lupus erythematosus

Darier nail

Darier nail

Darier disease

Dermatomyositis of the nail fold

Digital myxoid cyst

Digital myxoid cyst

Digital myxoid cyst, toenail

Digital myxoid cyst

Fusarium infection of the toenail

Intraepidermal squamous cell carcinoma

Koenen tumor in tuberous sclerosis

Lentigo simplex of the nail

Lichen planus

Median canaliform dystrophy of Heller

Median canaliform nail dystrophy of Heller

Mixed connective tissue disease

Nail fold capillary telangiectasia

Nail patella syndrome

Onychomycosis, toenail

Onychomycosis, toenail

Pincer nail

Psoriatic nail dystrophy

Psoriatic nail dystrophy

Psoriatic nail dystrophy

Scabies, foot

Subungual wart

Subungual haematoma, toenail

Subungual exostosis

Terry nails

Terry nail

Tinea unguium, toenails

Trauma, toenail

Pincer nail

Twenty nail dystrophy

Twenty nail dystrophy

Yellow nails

Psoriatic nail dystrophy

Psoriatic nail dystrophy

Psoriatic nail dystrophy

On DermNet

• Nail disorders

Treatment of non-fungal nail diseases in Moscow.

Prices. Reviews. Photo.

Symptoms of nail diseases

Visible manifestations of nail diseases affect either the nail plate (the nail itself) or its surrounding formations – the nail folds. During the examination, attention should be paid to the color and transparency, the thickness of the plate, the nature of its surface, strength and integrity (length, shape of the free edge, the presence of cracks, connection with surrounding structures).

Discoloration (dyschromia)

A normal nail is pink due to the translucency of the nail plate and the abundant blood supply to the nail bed.

Leukonychia (when the nail turns white)

There are several types of leukonychia:

true leukonychia consists of preserved nuclei or irregularly located cells and is therefore opaque. It can be congenital, occurs with severe systemic diseases, but more often it is caused by nail injuries. In the latter case, as a rule, not the entire nail becomes white, but its small areas in the form of spots or stripes.

false leukonychia

Caused not by changes in the matrix, but by events occurring in or under the nail plate. Most often this is caused by onycholysis – separation of the plate from the nail bed. Air and horny masses gather between the plate and the bed, so the bed rich in vessels no longer shines through the plate. The affected area of ​​the nail becomes white or yellowish. Very often apparent leukonychia and onycholysis are observed in onychomycosis, they are called pseudoleukonychia mycotica.

pseudoleukonychia

Occurs with superficial white form of onychomycosis. Caused by the introduction of the fungus into the superficial parts of the nail plate.

Yellow

Yellow may over time acquire parts of the nail affected by a fungal infection, including with onycholysis (for example, with candidiasis of the nails). It is rare for the entire nail to turn yellow, but this is caused by a drug and occurs in yellow nail syndrome.

Black nails

Occurs with hemorrhages in the nail bed and injuries. Another reason to always keep in mind is nevi and melanomas in the nail area. Many mushrooms can also change the normal color of the nail to black. This occurs when there is a superficial infection of the lamina or infection of areas of onycholysis.

Greenish or brownish color

Nails of this color are more likely to develop during infections, in particular with candidiasis of the nails, onychomycosis mold and infection with Pseudomonas bacteria.

Plate thickness

Depends on the state of the matrix that forms it. The average thickness of the plate on the arms is 0.5 mm, on the legs – 1 mm.

Gapalonychia – reduction in the thickness of the plate, its softening

Always caused by matrix dystrophy. This occurs with severe systemic diseases, deep dystrophy. The thinning of the plate is often combined with furrows and cracks on its surface.

Koilonychia – thinning of the lamina

Associated with volume reduction or flattening of the distal matrix, the nail looks concave, teaspoon-shaped. It occurs in systemic diseases: circulatory failure, blood diseases, especially in iron deficiency anemia. Koilonychia is also found in onychomycosis. In these cases, the volume and shape of the matrix changes because the overgrown, hyperkeratotic nail bed presses on it.

Pachyonychia or onyhauxis – thickening of the nail plate

Applicable to true thickening of the nail, i.e. the nail plate itself, which is caused by matrix hypertrophy. Congenital pachyonychia is observed in the Yadasson-Lewandowski syndrome.

Onychogryphosis – thickening, discoloration of the nail plate, bent in the form of a beak

The causes of onychogryphosis are nail injuries, wearing tight shoes, flat feet and hallux valgus, as well as impaired trophism of the nail. Fungal infections can also cause onychogryphosis, but much more often the infection is secondary.

Subungual hyperkeratosis

The most common cause of hyperkeratosis is onychomycosis, especially T. rubrum, but there are other causes associated with chronic inflammation: psoriasis, chronic eczema, lichen erythematosus. Less commonly, hyperkeratosis occurs with warts of the nail bed, lichen planus.

Surface of the nail plate

Normally smooth, healthy nails are convex, matte or slightly shiny. Surface changes include pits, furrows, ridges.

Dimples

Reflect damage to small areas of the proximal matrix. Found in psoriasis. Pits can be observed with alopecia areata, eczema, or minor nail injuries.

Longitudinal sulci and ridges

Reflect damage to one or more areas of the distal matrix. There are several types:

Shallow longitudinal furrows

They occur in the elderly and can be a manifestation of lichen planus, rheumatoid arthritis, and peripheral circulatory disorders.

Multiple longitudinal grooves

If visible on all nails, this is called twenty-nail dystrophy. This syndrome is most often observed with focal alopecia.

Deep longitudinal grooves

Sometimes with splitting of the plate starting at the free edge, called onychorrhexis.

Wide longitudinal comb

This condition occurs in lichen planus, psoriasis, eczema, alopecia areata, Darier’s disease. Caused by a subungual tumor, cyst or wart when pressure is applied to the plate. A wide longitudinal groove in the middle of the nail, usually on the thumb, is called median canaliform dystrophy syndrome. This condition can be congenital or acquired, as a cause, permanent trauma to the nail is suggested.

Transverse furrows (Bo lines)

Simultaneous damage to the entire matrix. Sometimes they occur after serious illnesses, for example, after infections. Furrows begin in the region of the crescent and eventually shift to the free edge. Bo’s lines indicate temporary dystrophy of the entire matrix. Transverse furrows appear with nail injuries, occur with Raynaud’s disease and carpal tunnel syndrome, chronic eczema. Transverse furrows may indicate paronychia, such as in nail candidiasis.

The strength and integrity of the nail

Evaluated by the shape of the nail plate (according to its regular outline, even edges and smooth surface), by the connection of the plate with the nail bed, lateral and proximal ridges, by the resistance of the plate to damage.

Onycholysis – separation of the plate from the nail bed

A common cause is trauma to the nail, sometimes caused by manicure or nail polish. It can be caused by systemic diseases: severe circulatory failure, iron deficiency anemia, diseases of the endocrine system, sometimes it develops during pregnancy. Allocate photoonycholysis.

Psoriasis is characterized by a reddish-pink line that becomes yellow over time between the white exfoliated area of ​​the plate and the pink intact part of the nail. In addition, with psoriasis, onycholysis occurs in the form of an oily spot visible under the plate.

In fungal infections : dermatophyte infection with T. rubrum is characterized by onycholysis starting at the free and lateral edges of the plate; with candidiasis of the nails, which affects the nails on the hands, onycholysis is observed, starting in the area of ​​​​the crescent. A strip of onycholysis is located along the lateral edge of the nail.

Onychomadesis – falling off of the entire nail plate

Occurs in bullous dermatoses, as a complication of X-ray therapy, in some severe systemic diseases, but more often in nail injuries. Sometimes onychomadesis is the final stage of onycholysis, which captures the entire plate.

Pterygium – proliferation of eponychium and its transition to the nail bed

Ordinary (dorsal) pterygium

Occurs with lichen planus, occasionally with peripheral circulatory failure.

Ventral pterygium (pterygium inversum)

The condition occurs in systemic scleroderma and other collagenoses.

Onychoschizia (onychoschizia lamellind) – splitting of the plate into layers parallel to its surface, at the free edge of the nail.

Usually seen in women whose hands are in water for a long time, and sometimes in patients with eczema.

Fragility of the nail plate

More common in women. Nails become brittle when using various cosmetic varnishes, but more often with constant contact with hot water and household chemicals: washing powders, solvents.

Changes in the nail folds

Paronychia is an inflammation of the proximal nail fold

Acute paronychia is usually caused by staphylococci or streptococci and resolves when the pus is removed. Acute is characterized by pronounced inflammation, bright hyperemia and luster of the roller, soreness, and sometimes the release of exudate from under the roller.

Chronic paronychia is caused by Candida albicans and bacteria, usually Staphylococcus aureus and Pseudomonas pyocyanae, mixed infections occur. Chronic paronychia is characterized by an undulating course without pain and severe inflammation. An important feature is the absence of the cuticle due to its separation from the nail plate. Non-infectious causes of chronic paronychia include eczema, psoriasis, and systemic vasculitis.

Cost of treatment

9 0205 2000

9 0204

9020 5 2500

Laser treatment of nail fungus. Treatment of onychomycosis with Q-Switched / Nd:YAG 1064 Fungus Nd:YAG laser. One nail plate	3500
Laser treatment of nail fungus. Treatment of onychomycosis with Q-Switched / Nd:YAG 1064 Fungus Nd:YAG laser. Two nail plates	5000
Laser treatment of nail fungus. Treatment of onychomycosis with Q-Switched / Nd:YAG 1064 Fungus Nd:YAG laser. Three nail plates	6600
Laser treatment of nail fungus. Treatment of onychomycosis with Q-Switched / Nd:YAG 1064 Fungus Nd:YAG laser. Four nail plates	8500
Laser treatment of nail fungus. Treatment of onychomycosis with Q-Switched / Nd:YAG 1064 Fungus Nd:YAG laser. Five nail plates	10200
Laser treatment of nail fungus. Treatment of onychomycosis with Q-Switched / Nd:YAG 1064 Fungus Nd:YAG laser. 6 to 10 nail plates	11500
Laser treatment of nail fungus. Treatment of onychomycosis with Q-Switched / Nd:YAG 1064 Fungus Nd:YAG laser. From 11 to 20 nail plates	18900
ovacuum-liquid treatment of the nail bed (4-6 nail plates)	3500
Gas-vacuum-liquid treatment of the nail bed (7-10 nail plates)	4500
Gas-vacuum-liquid treatment of the nail bed (11-20 nail plates)	8500
Removal of one corn
Uncomplicated hardware nail treatment (hands)	4200
Uncomplicated nail work (hands and feet)	7800
Uncomplicated nail work (feet)	4800
Complicated hardware nail treatment (legs)	5500
Hardware nail treatment for onychomycosis, hypertrophy of the nail plates (legs)	6600
Ingrown nail correction Podofikc	4200
Hardware correction of one of the nail plate	2500
Procedure for mesoparation/electroparation/ultrasonic injection of nail bed antimycotics (5 min)	4000
Gel nail extension (1-2 nails)	5500
Gel nail extension (more than 2 nails)
Hardware correction of one nail fold	1500
Foot resurfacing	2500

See full price list

3

*** The final cost of the procedure will be determined only after consultation with the specialists of our clinic.

PresidentMed guarantees its patients the best value for money!

Doctors of the Clinic

Nezgovorova Oksana Ivanovna

Cosmetologist, dermatovenereologist.
Experience in the field of medical cosmetology and dermatology since 2006.

Skorodumova Olga Evgenievna

Cosmetologist, dermatovenereologist.
Experience in the field of medical cosmetology and dermatology since 2000.

Grishanova Natalya Aleksandrovna

Doctor – cosmetologist, doctor – dermatovenereologist. Experience in the field of medical cosmetology and dermatology since 2003.

Oleinikova (Alekseeva) Svetlana Mikhailovna

Doctor – cosmetologist, doctor – dermatovenereologist. Experience in the field of medical cosmetology and dermatology since 2004

Patient reviews

Natalia Ivanova, 04/28/17

The clinic has modern equipment and medicines. Very satisfied with the work of the doctors. Thank you! Best regards, Natalia

Nail treatment, Krivoy Rog – fungus, atrophy, leukonychia

January 12, 2021

Treatment of nails in Kryvyi Rih – photo after a course of therapy on FilatovaNail diseases are numerous. These are deformations, delaminations, infectious and fungal lesions of the nail plates. All of them significantly worsen the condition of the nail, up to its loss. Therefore, it is important not only to know more about such pathologies, but also to seek help in time. We offer nail treatment in Krivoy Rog: onychomycosis, ingrown nail, onychodystrophy, onychocryptosis, onycholysis, leukonychia, paronychia!

Medical terminology is difficult for the average person, so most people use symptom descriptions to refer to disease. And only at the doctor’s appointment, the patient learns the name of the diagnosed disease of the nail on the arm or leg, and how it can be treated.

But even before visiting a specialist, a person often looks for information about acquired pathology, learns more through online consultations with a trichologist, by phone. We have selected some of the most significant issues that our doctors work with. Some of them are almost unique, others are asked more frequently!

• Why do nails exfoliate – is the disease complicated or not, is it possible to quickly cure nail exfoliation at home;
• What to do if nails crack – ointments and iodine do not help;
• I have yellow nails, there are stripes and spots on the nail plates – what is it;
• Detachment of the nail after injury – how to cure and return a healthy nail;
• Whence leukonechia of the nails, dots of white and light color appear in the spring;
• Nail hurts – what to do? The skin of the periungual roller cracks, inflammation;
• The nail plate broke off and an infection was introduced, after that the nails crack, crumble, the lightening of the nail plate becomes visible;
• How to cure dark stained nails, need surgery or conservative treatment;
• Can’t cure onychomycosis – laser, baths, other remedies didn’t help. Need advice on treating nail fungus quickly before vacation;
• The nail on the hand is severely deformed, crumbles and exfoliates – what is the reason;
• What nail ointment helps, what to use to treat nail diseases at home?

Diseases of the nails on the hands and feet – symptoms and complaints

Today we decided to talk about common symptoms, signs of pathologies and lesions of the nail plates, as they sound in ordinary, familiar language!

People come to our specialized medical center with numerous complaints. Among them are the following:
• Splitting of the nails, when the nail plate gradually becomes thinner with layer-by-layer separation, detachment of the upper part;
• Cracking and brittleness of the nails, when the nails crumble, thin and are simply damaged on contact with any surface or object;
• Discoloration of the nails – green or yellow nail plates of an unpleasant, painful color;
• Stripes on the nails, dents and pits on the nail plate, small holes and holes;
• Mechanical damage to the nails, as well as the skin around them, cracks in the periungual fold, inflammation, rough skin and peeling around the nail;
• Itching of fingers and toes, painful touching of fingertips and nails!

This is not the whole list, because in individual cases the symptoms may overlap or be supplemented. And this indicates the need for professional diagnosis to establish nail disease and prescribe treatment!

Diseases of the nails on the hands and feet – types and description

Diseases of the nails: fungus, leukonechia, atrophy – photo of nail diseases :
• Leukonychia – white spots on the nails, a pathological change in the plate with its visual discoloration. White stripes and white dots are possible. The cause of leukonechia is systematic trauma, infection or intoxication, as well as diseases of internal organs;
• Melanonychia – darkening of the nail plate with the appearance of stripes, which is characterized by deposits of melanin in the plate. Among the causes of melanonychia, contact with chemicals, fungal damage, medication, frequent injuries or concomitant diseases of the nails and skin;
• Chromonychia – yellowing of the nails, discoloration to an unnatural and painful, which is possible due to smoking, the use of low-quality nail polishes, contact with chemicals or due to uncontrolled use of medicines. Also, chromonychia can indicate serious diseases of the body, including diabetes, lymphostasis, endocrine system disorders, skin diseases;
• Paronychia is an infectious inflammation of the periungual folds, which is often accompanied by redness and swelling, localized fever, suppuration and pain near the edge of the nail plate. The disease can be occupational, but also among the causes of paronychia are exposure to high temperatures, trauma and subsequent infection;
• Nail atrophy – thinning of the nail plate, its increased plasticity, and therefore increased trauma and infection is possible. Causes of nail atrophy – beriberi, eczema, psoriasis, fungal infections, infection during poor-quality manicure;
• Hypertrophy – pathological thickening of the nail, an increase in its volume and mass, dimensions in length and width, increased keratinization of the plate. Among the causes of toenail hypertrophy are fungal infections, the consequences of complex injuries, disruption of the endocrine system, as well as uncomfortable, low-quality shoes;
• Onychotrophy – deformation of the nail, its thickening and change in shape up to the claw of a bird of prey. Therefore, pathology is also called onychogryphosis. Bird claw on the toe is formed under the influence of exogenous and endogenous triggers. This is a systematic trauma at home or at work, frostbite, improper nail treatment, skin infections. Also hormonal disruptions, immune disorders, chronic dermatoses!

Other problems with fingernails and toenails , as well as skin around the nail:
• Onycholysis – exfoliation of the nail, which we discussed in detail earlier in the corresponding article;
• Discoloration of nails, their increased transparency or change in shade;
• Grooving of the nails, the appearance of longitudinal grooves along the entire length of the plate;
• Hyperkeratosis of the skin and nails, about which there is also an interesting material on the clinic’s website;
• Pterygium – disturbances in the growth of the cuticle, its attachment to the nail and movement during growth along with the plate;
• Suspended nail – formation of cracks and inflammation at the base of the nail plate;
• Ingrown toenail is a painful problem for which we provide a link to the relevant material on the treatment and removal of ingrown toenails!

Unfortunately, depending on lifestyle, nail care, our own health and many other factors, we can have other problems. These are blue nails, candidiasis of the nail folds, deep cracks and non-healing wounds near the toenails and hands, problems with burrs, nail damage with ringworm and pyogenic microbes!

Nail diseases – treatment in Krivoy Rog

These symptoms, as well as the usual discomfort or unusual appearance, indicate the need for nail treatment. You should sign up for an examination and undergo a diagnosis, get the doctor’s conclusions and appointments!

Specialists use protocol methods for the treatment of nail diseases with a focus on complex therapy regimens. It is important to combine the impact, because the combined treatment of nails gives a much more significant result:
• Systemic therapy – oral administration of prescribed drugs;
• External treatment of nail plates – antimycotic creams, ointments, gels, baths and other preparations and agents that affect the nail directly;
• Apparatus techniques – laser nail treatment;
• Purpose of removal of the nail plate – the nails are completely affected, which requires the renewal of the nail plate in synthesis with sequential treatment!

Diseases of the nails of the hands and feet are difficult to treat, but the therapy is effective if you visit a doctor after the first symptoms of nail fungus, psoriasis, onycholysis and other damage to the nail plates. You should not try to start nail treatment at home if you find leukonychia, hypertrophy or atrophy of the nail, corrugation and delamination, discoloration. The standard type of drug is a general spectrum drug, without a targeted effect. That is, such a solution helps to minimize the symptoms, but does not eliminate the problem. A negative reaction to hormonal ointments for the treatment of nail fungus, drug-induced dermatitis of the skin rollers, peeling and irritation of the skin of the hands is possible if the means of regulation and recovery are not used correctly. You should not study photos of the disease on nails, photos of onychomycosis and onycholysis on third-party resources, and also follow the advice of commentators. It is important to investigate the pathology, establish the cause and act comprehensively, eliminating it and unpleasant symptoms at the same time!

Nail diseases – treatment in trichology on Filatova, Krivoy Rog Treatment of nails in Krivoy Rog – appointment with a trichologist, laboratory and diagnostics, confirmation of nail pathology and identification of the cause of the disease, treatment and prevention.