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Nail Disorders in Dermatology

Diagnosis and management of nail unit disease including infections, inflammatory and tumoral conditions.

Written by: Saygı Hospital Health Guide Editorial Board
Published:

This content is for general information; please consult your physician for diagnosis and treatment.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Dermatoloji department. Book Appointment →

What is Nail Disorders in Dermatology?

Nail disorders in dermatology include onychomycosis, paronychia, ingrown nail, nail psoriasis, lichen planus of the nails, alopecia areata-related nail changes and benign or malignant tumors of the nail apparatus.

Diagnosis combines clinical inspection, dermoscopy, mycologic sampling, biopsy and imaging where indicated.

Management is tailored to the cause and severity, including antifungal regimens, topical and intralesional anti-inflammatory therapy and surgical or laser interventions for refractory or neoplastic lesions.

Symptoms

Discoloration and thickening of the nail
Onycholysis with separation from the nail bed
Pitting and oil-drop changes of psoriasis
Periungual erythema and pain
Longitudinal pigmented streaks
Persistent nail deformity after trauma
Recurrent paronychia

Risk Factors

Diabetes and peripheral vascular disease
Chronic moisture exposure of the hands
Repetitive trauma or tight footwear
Psoriasis or lichen planus
Immunosuppression
Family history of nail disease
Occupational chemical exposure

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Sudden change in pigmented streak under a single nail
  • Painful nail growth deformity
  • Persistent paronychia despite local care
  • Failure of treatment for fungal nails
  • Bleeding or ulcerated nail tumor
  • Severe nail psoriasis affecting function
  • Multiple nails affected with systemic symptoms

Treatment Methods

01
Targeted clinical and dermoscopic examination
02
Mycologic culture and PCR before antifungal therapy
03
Topical or systemic antifungals based on extent
04
Topical or intralesional corticosteroids for inflammatory disease
05
Biologic therapy for severe nail psoriasis
06
Nail biopsy for suspicious pigmented or growing lesions
07
Surgical or laser treatment for refractory or neoplastic conditions

Which Department to Visit?

You can visit our Dermatoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Dermatoloji Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Related Health Topics

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Eczema (Atopic Dermatitis)

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Acne

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Urticaria (Hives)

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Urticaria is a skin condition with sudden pink-red wheals and intense itching that may follow an acute or chronic course.

Skin Fungal Infections

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Skin fungal infections are common, contagious skin diseases caused by dermatophytes and yeast fungi colonizing the upper layers of the skin.

Hair Loss (Alopecia)

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Alopecia is a general term for hair loss that can be genetic, hormonal, autoimmune, or nutritional; early intervention can slow progression.

Vitiligo

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Vitiligo is an acquired autoimmune disease in which CD8+ T cells destroy melanocytes, producing well-demarcated depigmented patches. Early, sustained treatment can induce repigmentation and prevent progression; psychosocial impact warrants holistic care.

Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.