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'''Onychomadesis''' is a medical condition that involves the shedding or separation of a nail from the nail bed, usually affecting the fingernails or toenails. This condition can be caused by a variety of factors, including systemic diseases, medications, and trauma to the nail bed.
{{SI}}
 
{{Infobox medical condition
| name            = Onychomadesis
| image          = [[File:Onychomadesis.jpg|left|thumb|Onychomadesis affecting the fingernails]]
| caption        = Onychomadesis affecting the fingernails
| field          = [[Dermatology]]
| synonyms        =
| symptoms        = [[Nail shedding]], [[nail plate]] separation
| complications  =
| onset          =
| duration        =
| causes          = [[Infection]], [[trauma]], [[systemic disease]]
| risks          =
| diagnosis      = [[Clinical diagnosis]]
| differential    = [[Onycholysis]], [[Beau's lines]]
| prevention      =
| treatment      = [[Supportive care]], addressing underlying cause
| medication      =
| prognosis      = Generally good with nail regrowth
| frequency      =
| deaths          =
}}
'''Onychomadesis''' is a medical condition characterized by the complete shedding or falling off of a [[nail (anatomy)|nail]] from the [[nail bed]]. This condition can affect both [[fingernail|fingernails]] and [[toenail|toenails]]. It is often a result of a temporary cessation in nail growth due to various underlying causes.
== Causes ==
== Causes ==
The most common causes of '''Onychomadesis''' include:
Onychomadesis can be caused by a variety of factors, including:
* [[Systemic diseases]] such as psoriasis, eczema, and lichen planus.
* '''Infections''': Viral infections such as [[hand, foot, and mouth disease]] are known to cause onychomadesis, particularly in children.
* Certain [[medications]], including chemotherapy drugs and antibiotics.
* '''Trauma''': Physical trauma to the nail matrix can disrupt nail growth, leading to onychomadesis.
* [[Trauma]] to the nail bed, such as from an injury or infection.
* '''Systemic Illness''': Severe systemic illnesses or conditions that cause high fever can interrupt nail growth.
* Severe [[malnutrition]] or [[vitamin deficiency]].
* '''Medications''': Certain medications, particularly those used in chemotherapy, can lead to nail shedding.
* Certain [[infections]], including fungal and bacterial infections.
* '''Dermatological Conditions''': Skin conditions such as [[psoriasis]] or [[lichen planus]] can affect nail health and growth.
 
== Symptoms ==
== Symptoms ==
The main symptom of '''Onychomadesis''' is the shedding or separation of the nail from the nail bed. This can occur in one or more nails, and can affect both the fingernails and toenails. Other symptoms may include:
The primary symptom of onychomadesis is the detachment of the nail from the nail bed. This process can be painless or associated with discomfort, depending on the underlying cause. The nail may appear discolored or have a ridge that marks the point of growth cessation.
* Pain or discomfort in the affected nail.
== Diagnosis ==
* Changes in the color or texture of the nail.
Diagnosis of onychomadesis is primarily clinical, based on the appearance of the nails and the patient's medical history. A thorough examination may include:
* Swelling or redness around the nail bed.
* '''Physical Examination''': Inspection of the nails and surrounding skin.
 
* '''Medical History''': Assessment of recent illnesses, medications, and potential trauma.
* '''Laboratory Tests''': In some cases, tests may be conducted to rule out infections or systemic diseases.
== Treatment ==
== Treatment ==
Treatment for '''Onychomadesis''' depends on the underlying cause of the condition. This may include:
Treatment of onychomadesis focuses on addressing the underlying cause. In many cases, the condition resolves on its own as the nail regrows. Specific treatments may include:
* Treating any underlying systemic diseases or infections.
* '''Management of Underlying Conditions''': Treating infections or systemic illnesses that may be contributing to the condition.
* Discontinuing any medications that may be causing the condition.
* '''Protective Measures''': Keeping the affected area clean and protected to prevent further trauma or infection.
* Providing nutritional support if malnutrition or vitamin deficiency is the cause.
* '''Topical Treatments''': Application of topical medications to promote healthy nail growth.
* In some cases, no treatment may be necessary, and the nail will regrow on its own.
== Prognosis ==
 
The prognosis for onychomadesis is generally good, with most individuals experiencing complete regrowth of the affected nail. The time required for regrowth can vary depending on the individual's health and the severity of the condition.
== See Also ==
== See also ==
* [[Nail diseases]]
* [[Nail (anatomy)]]
* [[Nail disorders]]
* [[Hand, foot, and mouth disease]]
* [[Nail abnormalities]]
* [[Psoriasis]]
 
* [[Lichen planus]]
[[Category:Skin conditions]]
[[Category:Dermatology]]
[[Category:Nail disorders]]
[[Category:Nail diseases]]
[[Category:Medical conditions]]
 
{{stub}}

Latest revision as of 06:15, 8 April 2025

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC

Onychomadesis
Onychomadesis affecting the fingernails
Synonyms
Pronounce N/A
Specialty N/A
Symptoms Nail shedding, nail plate separation
Complications
Onset
Duration
Types N/A
Causes Infection, trauma, systemic disease
Risks
Diagnosis Clinical diagnosis
Differential diagnosis Onycholysis, Beau's lines
Prevention
Treatment Supportive care, addressing underlying cause
Medication
Prognosis Generally good with nail regrowth
Frequency
Deaths


Onychomadesis is a medical condition characterized by the complete shedding or falling off of a nail from the nail bed. This condition can affect both fingernails and toenails. It is often a result of a temporary cessation in nail growth due to various underlying causes.

Causes[edit]

Onychomadesis can be caused by a variety of factors, including:

  • Infections: Viral infections such as hand, foot, and mouth disease are known to cause onychomadesis, particularly in children.
  • Trauma: Physical trauma to the nail matrix can disrupt nail growth, leading to onychomadesis.
  • Systemic Illness: Severe systemic illnesses or conditions that cause high fever can interrupt nail growth.
  • Medications: Certain medications, particularly those used in chemotherapy, can lead to nail shedding.
  • Dermatological Conditions: Skin conditions such as psoriasis or lichen planus can affect nail health and growth.

Symptoms[edit]

The primary symptom of onychomadesis is the detachment of the nail from the nail bed. This process can be painless or associated with discomfort, depending on the underlying cause. The nail may appear discolored or have a ridge that marks the point of growth cessation.

Diagnosis[edit]

Diagnosis of onychomadesis is primarily clinical, based on the appearance of the nails and the patient's medical history. A thorough examination may include:

  • Physical Examination: Inspection of the nails and surrounding skin.
  • Medical History: Assessment of recent illnesses, medications, and potential trauma.
  • Laboratory Tests: In some cases, tests may be conducted to rule out infections or systemic diseases.

Treatment[edit]

Treatment of onychomadesis focuses on addressing the underlying cause. In many cases, the condition resolves on its own as the nail regrows. Specific treatments may include:

  • Management of Underlying Conditions: Treating infections or systemic illnesses that may be contributing to the condition.
  • Protective Measures: Keeping the affected area clean and protected to prevent further trauma or infection.
  • Topical Treatments: Application of topical medications to promote healthy nail growth.

Prognosis[edit]

The prognosis for onychomadesis is generally good, with most individuals experiencing complete regrowth of the affected nail. The time required for regrowth can vary depending on the individual's health and the severity of the condition.

See also[edit]