Nail fragility syndrome and its treatment
Nail Fragility Syndrome and Its Treatment
Nail fragility syndrome affects many individuals, causing significant discomfort and aesthetic concerns. To better understand this condition, let's clarify several key terms related to nail health: strength, hardness, flexibility, brittleness, and toughness.
Types of Nail Fragility
Six clinical types of nail fragility are commonly recognized:
- Longitudinal furrows and splitting (onychorrhexis)
- Single longitudinal splitting
- Multiple crenellated splitting
- Lamellar splitting (onychoschizia)
- Transverse splitting
- Nail friability
These variations often result from changes in the keratin structure of the nails.
Causes of Nail Brittleness
Nail brittleness is frequently due to environmental factors but can sometimes be a component of nail dystrophy. Daily household tasks, in particular, can be detrimental to nail health. General acquired causes include hypochromic anemia, sideropenia, arthritic deformities of the distal joints, peripheral vascular impairment, and endocrinopathies.
Treatment and Prevention
Several therapeutic approaches are available to address nail fragility:
- Using plastic gloves over light cotton glove linings to protect the nails during chores
- Applying nail hardeners, particularly those containing dimethyl urea, which avoids the issues associated with formaldehyde
- Biotin supplements can also be beneficial
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