Get your Health question answered in 3 easy steps

189 Doctors Online
Owl Image
MD
Dr. Andrew Rynne

Family Physician

Exp 18 years

I will be looking into your question and guiding you through the process. Please write your question below.

Have a tiny hole in nail. Symptoms of median nail dystrophy?

Answered by
Owl Image
Dr. Sudarshan

Dermatologist

Practicing since :2005

Answered : 1391 Questions

Question
I believe I may have median nail dystrophy. I trapped my fore finger about two years ago. About a year ago I noticed a tiny hole at the base of my nail. Now it is a XXXXXXX ridge all along my nail, with some sort of scab at the base, that sometimes bleeds, but it is not painful.

Are there any cures for this?
Tue, 18 Dec 2012 in Skin Hair and Nails
 
 
Answered by Dr. Sudarshan 29 minutes later
Hi XXXXXXX

Thanks for writing in.

Median nail dystrophy or longitudinal splitting or canal formation in the midline of the nail. The split, which often resembles a fir tree, occurs at the cuticle and proceeds outward as the nail grows .

As in your case trauma may be a cause for the dystrophy.


Treatment can be avoidance of trauma.Topical treatment with steroid drops daily or protopic ointment(o.1%) daily can help after 3-6 months of treatment.

Before starting treatment confirmation of diagnosis is must.Habit tic deformity or traumatic dystrophy closely mimics the median nail dystrophy.
If you can upload the photos of the nails it would be of great help in predicting the condition.
Photos can be uploaded by UPLOAD YOUR REPORTS SECTION.

Hope this helps.
I will be available for follow up.

Regards
Dr SUD
MD Dermatology.
Above answer was peer-reviewed by
 
Follow-up: Have a tiny hole in nail. Symptoms of median nail dystrophy? 19 hours later
Dear Dr Sud

I have already attached a photo of my nail yesterday, it is showing on the my screen as though it is attached to the query. Hopefully you can find it.

Thank you for your help and look forwrd to hearing from you once you have had a look at the picture.

Kind regards,
XXXXXXX
 
 
Answered by Dr. Sudarshan 4 hours later
Hi again XXXXXXX

I was able to view the photo.It does not look like median nail dystrophy.
It is more of traumatic dystrophy .
You should take biotin supplement for atleast 3 months .Biotin is essential for nail growth.Also you should apply betamethasone drops over the proximal nail fold.

If the nail matrix is damaged nail growth may not be normal even after treatment.
If it is intact your nail can grow back at 3 months.
The time for growth of finger nail is 3 months.So 3 month treatment would be needed.

Hope this helps.

Regards.
Above answer was peer-reviewed by
 
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Drug/Medication

Recent questions on Biotin

doctor1 MD

Dear Doctor,
For the past 1 year i was facing severe hair loss problem... Doctor asked me to take biotin 5mg tablets...i take it for 1 month along with some iron tablets...still hair loss persist & dandruff also is there...please tell me how to reduce the dandruff & hair loss.....and suggest me few tips to hair growth

doctor1 MD

Hi there, I have been suffering from hair loss for a long term,but it was fine till last year ago I have noticed bald patches(it is not alopecia,but you can see my skin) just behind my both eyes.i had my blood test done.my iron level was a bit lower than normal,so doctor prescribed me iron supplements which I ve been taking for more than half a year.quite recently I had my blood test,my iron level was normal,but doctor recommended me to take it for another 3 moths just to booth my hair growth.however,I haven t noticed any improvement,I would say even bigger bald patches.by the way,my thyroid is fine,my diet is healthy,I do not stress too much.i am wondering, shall I carry on taking iron,or I can take other supplements like biotin,magnesium,zinc,calcium,selenium,which I have been taking before I got prescribed iron?i would like to get steroid injection into my scalp,but my doctor do not refer me to see dermatologist...maybe i am lack of certain minerals,but I do not know where to go to check it. could u please help me telling what shall i do? Kindly, Dove

doctor1 MD

HI Doctor, My age is 23 and i am experience hair loss... i hear about minoxidil, zinc tablet, biotin and niacin to use for avoid hair loss kindly advice which one treatment is best. my front end side scalp are clean surface.. and my skin is too oily... please advice?

doctor1 MD

Hi ,I'm 19 years old and my hair was falling out so i went to the docter and she recomanded i take biotin 2500mcg and also multivitamines...but once i started taking them my hair fell out more so i stoped and hair is still falling out more then before i went to the doctor she took blood test from me and said everything was fine..... please help me ...does biotin make your hair fall out once you stop....it got really thin

doctor1 MD

Hey doctor, My gp recently ordered some blood test for me for malabsorption gut issues and pain in my stomach after eating. The tests includes B12, plasma zinc, tTG, se copper, Fe studies, Vitiam D, coeliac genetic test and fasting homocysteine ....

doctor1 MD

I am facing hair loss from the centre of my scalp , along with receding hairline

doctor1 MD

What can you tell from fingernails. I have fine ridges running down all my fingernails they until recently were smooth. also recently my right testicle has grown large(3-4 months)don't think there's a connection but I have just noticed.. I had a...