$Unique_ID{BRK00767} $Pretitle{} $Title{Crumbling Fingernail Condition} $Subject{fingernail fingernails finger nail nails fungus treatment Skin fungi fungal Infections infection potassium hydroxide} $Volume{A-20} $Log{} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. Crumbling Fingernail Condition ------------------------------------------------------------------------------ QUESTION: I have a terrible looking condition affecting my finger nails. They are yellow, and seem to be crumbling away. I have tried to clean them with soaps and have been taking a gelatin preparation everyday to try to make them stronger, but nothing is working. I am ashamed to be seen this way in public. Can you help me? ------------------------------------------------------------------------------ ANSWER: If information can help, I'll try, but I believe it will have to be your local physician who is going to have to do the real work. From your description, I suspect that a fungus infection of the nails is at work here, at is eating away at the dead tissue of the nail itself. There are no protective mechanisms here for your body to fight with, as there is no blood circulation to the nail, so help will have to come in the form of appropriate medications. When you visit your doctor, he may scrape away some of the debris which is now lodged beneath the nail, and use this material to test for a fungus. By using a solution of potassium hydroxide, he can prepare a slide that may be examined under the microscope and reveal the presence of the fungus that is causing you all the trouble. There are a number of preparations that may be prescribed, but you must be prepared to use them regularly, usually applied twice a day, and for a period that may last as long as four weeks. But it won't end there, for once the infection is killed you must still be patient while the new, normal nail grows back at the rate of 0.1 mm a day or about 6 months for an entire new nail take the place of those now causing your embarrassment. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.