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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Toe Nails Falls, Nails Are Dry With No Secretion. Oral Antibiotics, Same. Help?

Sure, let's give it a try. I take Humira 40 mg eow, Levbid .0375 mg 2-3 times per day; prednisone 2 mg daily, Lortab 5/500--1 per day. I have been on these for over 5 years. No problems until in August my toe nails started falling off. Have seen podiatrist, gp, and rheumy and none know what it is. The nails are dry, with no secretions. Does not respond to oral antibiotics--4 rounds so far or to oral/topical anti fungals. You have any ideas?
Sat, 12 Oct 2013
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Dermatologist 's  Response
Hi toe nail falls and dryness of the nails after prolonged usuage of steriods can be due to fungal infection of the nails called onychomycosis.rule out diabetes first.use of flucanazole weekly once for one year and application of loceryl lotion over the nails and supplementation of biotin.iron folic acid for healthy nali growth can cure the disease
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Toe Nails Falls, Nails Are Dry With No Secretion. Oral Antibiotics, Same. Help?

Hi toe nail falls and dryness of the nails after prolonged usuage of steriods can be due to fungal infection of the nails called onychomycosis.rule out diabetes first.use of flucanazole weekly once for one year and application of loceryl lotion over the nails and supplementation of biotin.iron folic acid for healthy nali growth can cure the disease