Our nails are not only a part of our aesthetic appeal, but also an indicator of our overall health. Changes in nail color, texture, and shape can signal underlying health issues. While some nail issues and problems can be resolved with home remedies, others may require the attention of a dermatologist. In this blog post, we go below the nail polish to share some common nail problems and the signs that indicate a visit to a dermatologist is necessary to maintain your nail health.
Brittle Nails
Brittle nails are characterized by dryness, splitting, and easy breakage. This condition can be caused by frequent exposure to water, chemicals, or nail polish remover. It can also be a sign of nutritional deficiencies, hormonal imbalances, or underlying health conditions such as anemia or hypothyroidism. Anemia is a blood disorder that occurs when the body doesn’t produce enough healthy red blood cells, or when the red blood cells don’t function properly; and hypothyroidism is a condition that occurs when the thyroid gland doesn’t produce enough thyroid hormones.
Yellowing or Discolored Nails
Nails that have turned yellow or developed abnormal discoloration may indicate fungal infections, such as onychomycosis. These infections occur when fungi invade the nail bed, causing the nail to thicken, become brittle, and change color. Onychomycosis or nail fungus causing nail discoloration can be treated in several ways, like oral antifungal agents, topical antifungal agents, lasers, photodynamic therapy, and nail abrasion, but consulting a dermatologist will help find the best course of action.
Pitted Nails
Pitting refers to the presence of small depressions or dents on the nail surface. This could be a sign of nail psoriasis, a chronic autoimmune condition that affects the skin and nails. Other symptoms may include thickening, crumbling, or discoloration of the nails. Nail pitting can be especially common in people who have psoriasis, eczema, and other skin conditions.
Nail Lifting
When the nail separates from the nail bed, it is known as nail lifting or onycholysis. This can be caused by trauma, fungal infections, allergic reactions to nail products, or underlying medical conditions such as thyroid disorders or psoriasis. Using tape or an adhesive bandage can help protect the nail until it has grown out enough to protect the finger or toe.
Ridges and Spoon-Shaped Nails
Vertical ridges on the nails are a common sign of aging. However, deep, horizontal nail ridges may indicate underlying health issues such as malnutrition, anemia, or kidney disease. Spoon-shaped nails, also known as koilonychia, can be a symptom of iron deficiency anemia or hemochromatosis. If you get your nails done often and have them shaped into a specific shape it could be beneficial to go a few weeks without shaping to see the natural shape of your nails and monitor your nail health effectively.
When Should I Visit a Dermatologist for My Nails
While some nail problems can be resolved with simple home remedies like moisturizing, wearing gloves while cleaning, or using antifungal treatments, there are situations where a dermatologist’s expertise is necessary. Here are some signs that indicate a visit to a dermatologist for nail treatments:
- Severe Pain or Infection: If you experience intense pain, swelling, redness, or pus around your nails, it could be a sign of infection. A dermatologist can help diagnose and treat the infection to prevent further complications.
- Persistent Nail Changes: If you notice persistent changes in your nails that do not improve with home remedies or over-the-counter treatments, it’s important to consult a dermatologist. They can evaluate your nails and identify any underlying conditions that may require medical intervention.
- Spreading Nail Fungus: Fungal nail infections can be stubborn and difficult to treat. If over-the-counter antifungal treatments have not improved the condition or if the infection is spreading, a dermatologist can prescribe more effective treatments such as oral antifungal medications or laser therapy.
- Changes in Nail Growth or Shape: Sudden changes in nail growth patterns, such as rapid or slow growth, or changes in nail shape, could be indicative of an underlying health issue. It is important to discuss these changes with a dermatologist who can assess your overall health and provide appropriate guidance.
Staying Vigilant with Dr. Kaplan and the APD Team
Remember, our nails can provide valuable insights into our health, and ignoring persistent nail problems may delay the diagnosis and treatment of underlying conditions. If you are experiencing any concerning nail changes or symptoms, it is best to consult with a dermatologist for an accurate diagnosis and proper treatment plan. Your nails deserve the attention and care they need to keep you looking and feeling healthy. If you have further questions or concerns about your nails or are experiencing nail issues, please contact our office for a consultation. As experts in the management of complex medical dermatology, Dr. Kaplan and the APD team strive to provide the highest quality, state-of-the-art medical care.