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I recently had a new patient who has onycholysis of both hallux nails and 2 minor nails. She has hypothyroidism (she believes due to Hashimotos), and is being treated with Oroxine.

She finds the onycholysis very concerning, and has had 'all the pathology under the sun'. She is also quite stressed as her husband is seriously ill.

A quick web search showed a strong link between thyroid problems and onycholysis.

Has anyone else come across this?

 

From my dermatology notes:

and from my medicine notes on hypothyroidism:

 

Cheers Craig

 

Another cause of onycholysis that I have seen:nail salon syndrome(which is under the category of infection).I also had a CVA pt get it.I remove the nail,no need for P and A.Many nail problems are metabolic in nature.