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  • onycholysis/half and half nails/fingertip eczema - pls help!

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    Old 08-13-2012, 08:14 PM   #1
    shamlet96
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    onycholysis/half and half nails/fingertip eczema - pls help!

    Hi all,

    I originally found this board while searching for info about my TSH levels, because I suspect I might be hypothyroid, which in turn I think is causing my nail problems. I'm a 34 year old otherwise healthy female, but over the past year, i've developed increasingly worsening onycholysis, where the nail lifts up at an angle as it grows, and keratin debris gets built up underneath. At the same time, the white part of the nail has been progressing lower and lower on the nail bed, to the point that it begins almost halfway between my cuticle and my actual fingertip (this is on my thumb and middle fingers on my left hand right now). Over the last three months, it's started to spread to other fingers as well.

    I've had a full blood workup done to rule out any systemic issues; I do have high cholesterol (234), but everything else checked out okay (i.e. kidneys, liver, heart). My dad passed away last month from end stage renal failure, so I was very worried that my kidneys were the problem. My TSH is 4.95, which my doctor told me not to worry about, but I made an appt w/an endocrinologist for next month because I think it's too high (based on this board and google research). I don't get manicures at salons (i do them myself), so I don't think it's a fungal infection. My derm prescribed topicort, but i used it religiously for two months with no improvement. I've been moisturizing like crazy but nothing seems to work. I'm at my wits' end because it's embarrassing to have nails that look like this.

    I can't post pics yet or I would attach them to this thread. I just want to have normal, healthy nails like other women my age. please help!

     
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    Old 08-14-2012, 09:24 AM   #2
    flamesabers
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    Re: onycholysis/half and half nails/fingertip eczema - pls help!

    Hello shamlet96.

    I wouldn't rule out a fungal infection so quickly. I've experienced fungal infections on my toenails and I've never been to a salon either. I think having a solid whitish or yellowish color cover more and more of your nails, and spreading to other nails is quite possibly a fungal infection. If it is a fungal infection, the good news is it's treatable.

     
    Old 08-14-2012, 12:26 PM   #3
    shamlet96
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    Re: onycholysis/half and half nails/fingertip eczema - pls help!

    Thanks flamesabers. For some reason my PCP didn't think it was fungal and so she didn't refer me to a derm (I had gone to a derm myself back in May, but the PA didn't take a sample or anything like that from my nails). Maybe I should make an appt with a new derm to see if it is fungal after all.

    Quote:
    Originally Posted by flamesabers View Post
    Hello shamlet96.

    I wouldn't rule out a fungal infection so quickly. I've experienced fungal infections on my toenails and I've never been to a salon either. I think having a solid whitish or yellowish color cover more and more of your nails, and spreading to other nails is quite possibly a fungal infection. If it is a fungal infection, the good news is it's treatable.

     
    Old 08-14-2012, 02:38 PM   #4
    flamesabers
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    Re: onycholysis/half and half nails/fingertip eczema - pls help!

    Quote:
    Originally Posted by shamlet96 View Post
    Thanks flamesabers. For some reason my PCP didn't think it was fungal and so she didn't refer me to a derm (I had gone to a derm myself back in May, but the PA didn't take a sample or anything like that from my nails). Maybe I should make an appt with a new derm to see if it is fungal after all.
    I didn't see a specialist for treatment or get a sample taken. My PCP prescribed Lamsil for the toenail fungus. I took it for a few months and the fungus cleared up. The one downside with using Lamsil is it can be hard on the liver.

     
    Old 08-14-2012, 03:26 PM   #5
    shamlet96
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    Re: onycholysis/half and half nails/fingertip eczema - pls help!

    yeah, i've read that there is some conflicting data out there on that. I made an appt with a PA at a different derm for Thursday, so I'm hoping she can help shed some light on the situation. I just am at a loss on what to do at this point, and it's affecting my work as well since the tips of multiple fingertips have peely, cracking skin and it hurts to type. i hope someone can fix this for me.

     
    Old 03-31-2014, 03:23 PM   #6
    Mare826
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    Re: onycholysis/half and half nails/fingertip eczema - pls help!

    It's been over a year, what's the status on your onycholysis (and it's definitely NOT a fungus).

     
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