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Suggest Remedy For Spoiled Nails Due To Vitamin Deficiency
Posted on
Tue, 14 Jul 2015
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Tue, 14 Jul 2015
Answered on
Wed, 5 Aug 2015
Last reviewed on
Question : Nails are getting spoiled due to vitamin deficiency.
Brief Answer:
History and pictures requested
Detailed Answer:
Hello,
Thank you for posting on HCM.
I can understand your concern regarding the nail condition but its difficult to point specific diagnosis in absence of clinical examination.
Therefore, I insist you to post detailed query explaining the condition in brief along with good clinical pictures so that I can help you in a better way.
You can mail pictures to YYYY@YYYY
with subject titled ' ATTN Dr Hardik Pitroda'.
Thanks
Dr Hardik Pitroda
History and pictures requested
Detailed Answer:
Hello,
Thank you for posting on HCM.
I can understand your concern regarding the nail condition but its difficult to point specific diagnosis in absence of clinical examination.
Therefore, I insist you to post detailed query explaining the condition in brief along with good clinical pictures so that I can help you in a better way.
You can mail pictures to YYYY@YYYY
with subject titled ' ATTN Dr Hardik Pitroda'.
Thanks
Dr Hardik Pitroda
Above answer was peer-reviewed by :
Dr. Shanthi.E
Hello Sir,
Thank you for your response. I have attached all the reports which I have received from the previous doctor visits.
Problem :
I having this issue more than 10 years
No pain
Its thicker and looking in different color
Thank you for your response. I have attached all the reports which I have received from the previous doctor visits.
Problem :
I having this issue more than 10 years
No pain
Its thicker and looking in different color
Brief Answer:
Topical 5-flurouracil, Oral biotin and calcium
Detailed Answer:
Hello,
Sorry for late reply.
I have gone through your case reports in detail.
It seems you are having a condition called trachyonychia which means 'rough nails' and when trachyonychia involves all the nails its called "Twenty nail dystrophy".
It very challenging to find cause of twenty nail dystrophy.
In may cases, its secondary to chronic skin conditions like lichen planus, psoriasis, alopecia areata etc or due to some drug reactions or sometimes genetic and idiopathic.
Your nail biopsy rules out any chronic condition like psoriasis or lichen planus nor there is any evidence of fungal infection but there are signs of inflammation suggestive of trachyonychia.
Treatment again is very subjective and depends on any underlying cause found and several regimens have to be tried step by step depending upon the response.
In my experience, I will firstly suggest you oral biotin, calcium and other multivitamin tablets for atleast 3-6 months to take care of any subclinical vitamin deficiency.
I will also advise you application of topical 5-flurouracil and combination of clobetsol and calcipotriol ointment.
If no results after 3 months then I may consider intramatrical injections (Injections into nail bed) of corticosteroids.
In some cases therapy with UV light can also be tried (PUVA therapy).
I would insist you visit your dermatologist again and discuss the treatment plan I highlighted for you.
I hope you get well soon.
Let me know if you need any more assistance from my side.
Thank you
Dr Hardik Pitroda
Topical 5-flurouracil, Oral biotin and calcium
Detailed Answer:
Hello,
Sorry for late reply.
I have gone through your case reports in detail.
It seems you are having a condition called trachyonychia which means 'rough nails' and when trachyonychia involves all the nails its called "Twenty nail dystrophy".
It very challenging to find cause of twenty nail dystrophy.
In may cases, its secondary to chronic skin conditions like lichen planus, psoriasis, alopecia areata etc or due to some drug reactions or sometimes genetic and idiopathic.
Your nail biopsy rules out any chronic condition like psoriasis or lichen planus nor there is any evidence of fungal infection but there are signs of inflammation suggestive of trachyonychia.
Treatment again is very subjective and depends on any underlying cause found and several regimens have to be tried step by step depending upon the response.
In my experience, I will firstly suggest you oral biotin, calcium and other multivitamin tablets for atleast 3-6 months to take care of any subclinical vitamin deficiency.
I will also advise you application of topical 5-flurouracil and combination of clobetsol and calcipotriol ointment.
If no results after 3 months then I may consider intramatrical injections (Injections into nail bed) of corticosteroids.
In some cases therapy with UV light can also be tried (PUVA therapy).
I would insist you visit your dermatologist again and discuss the treatment plan I highlighted for you.
I hope you get well soon.
Let me know if you need any more assistance from my side.
Thank you
Dr Hardik Pitroda
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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