Onychomadesis is the separation of the nail plate from the nail matrix, caused by various factors such as trauma, disease, infection, and medication. Treatment may include topical ointments or nail removal, and a new nail will eventually grow. It’s important to seek prompt diagnosis and treatment to identify the cause and prevent future occurrences.
Onychomadesis is a condition that involves the separation of the nail plate from the nail matrix. The separation eventually leads to the nail falling out and a new nail growing.
Onychomadesis occurs when the nail matrix temporarily stops working. The nail matrix is essentially the tissue under the nail. It is the cellular layer on which the nail rests. The nail matrix can stop working for a variety of reasons, such as physical trauma, systemic disease, infection, and even medications.
Onychomycosis, a fungal infection of the toenails or fingernails, is one of the conditions that can cause onychomadesis. Foot and mouth disease (HFMD), a viral disease that affects infants and children, can also cause onychomadesis. HFMD is caused by enteroviruses and its symptoms include fever, blister-like sores, and skin rashes. Some systemic diseases such as Guillain-Barre syndrome, Stevens Johnson syndrome and immunodeficiency are thought to be associated with onychomadesis. Drugs such as those used for epilepsy and cancer can also cause onychomadesis.
Treatment for onychomadesis may include topical ointments containing urea or alcinonide. In some cases, doctors may remove a nail that falls out to make it easier for the patient to use their hands or walk.
Onychomadesis is a temporary condition and a new nail will grow in place of the one that fell out. Therefore, those affected by the condition should not panic or feel distressed. However, if you suspect you have onychomadesis, see a doctor for diagnosis as soon as possible. Even if the condition is temporary, it’s important to identify the cause and receive prompt treatment. In addition to benefiting from treatments for the condition itself, treating any underlying causes will also help prevent onychomadesis in the future.
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