Nails and Their Disorders: Complete Guide with Causes, Symptoms & Treatment

Nails are horn-like keratinous structures covering the tips of the fingers and toes, made of alpha-keratin.

Mnemonic: "N.A.I.L. = Natural Armor In Life"


STRUCTURE OF NAILS

  • Nail Plate → Hard, visible part.
  • Nail Matrix → Produces new nail cells.
  • Nail Bed → Skin under the nail plate.
  • Lunula → White crescent at nail base.
  • Cuticle (Eponychium) → Protects nail base.
  • Hyponychium → Skin under free nail edge.

Mnemonic: "P.M.B.L.C.H." (Plate, Matrix, Bed, Lunula, Cuticle, Hyponychium)


COMMON NAIL DISORDERS

1. BRITTLE NAILS (Onychorrhexis)

  • Caused by Vitamin Deficiency (Iron, Biotin), Aging, Thyroid Disease.
  • Nails become dry, cracked, and split easily.
  • Mnemonic: "B.V.A.T." (Brittle Nails → Vitamin Deficiency, Aging, Thyroid)
  • Homeopathy: Silicea, Calc Fluor, Nat Mur, Graphites


2. YELLOW NAIL SYNDROME

  • Thickened, Yellow Nails.
  • Associated with Lung Disease (COPD), Lymphedema.
  • Mnemonic: "Y.L.C." (Yellow Nails → Lung Disease, Lymphedema, Chronic Infections)
  • Homeopathy: Antimonium Crudum, Graphites, Thuja


3. WHITE NAILS (Leukonychia)

  • White Spots (Punctate) → Trauma, Nutritional Deficiency.
  • Total White Nails → Liver Disease (Cirrhosis).
  • Mnemonic: "W.L.T." (White Nails → Liver, Trauma, Total Leukonychia)
  • Homeopathy: Calcarea Carb, Nat Mur, Phosphorus


4. BLUE NAILS (Cyanosis)

  • Due to Poor Oxygenation (Heart, Lung Disease).
  • Common in Raynaud’s Disease, COPD.
  • Mnemonic: "B.C.H." (Blue Nails → Cyanosis, Heart Disease, Hypoxia)
  • Homeopathy: Carbo Veg, Lachesis, Arsenicum Album


5. KOILONYCHIA (Spoon Nails)

  • Concave, Spoon-Shaped Nails.
  • Caused by Iron Deficiency Anemia.
  • Mnemonic: "K.I.D." (Koilonychia → Iron Deficiency)
  • Homeopathy: Ferrum Met, Nat Mur, Calc Phos


6. CLUBBING (Hippocratic Nails)

  • Rounded, Bulging Nails With Increased Curvature.
  • Associated With Heart & Lung Diseases (Congenital Heart Disease, Lung Cancer, TB).
  • Mnemonic: "C.H.L." (Clubbing → Heart, Lung Disease)
  • Homeopathy: Carbo Veg, Lachesis, Digitalis


7. PITTING NAILS

  • Small Depressions (Pits) in Nail Surface.
  • Common in Psoriasis & Alopecia Areata.
  • Mnemonic: "P.P.A." (Pitting → Psoriasis, Alopecia Areata)
  • Homeopathy: Arsenicum Album, Mezereum, Nat Sulph


8. BEAU’S LINES

  • Horizontal Grooves Across Nails.
  • Due to Severe Illness, High Fever, Trauma.
  • Mnemonic: "B.I.T." (Beau’s Lines → Illness, Trauma)
  • Homeopathy: Silicea, Nat Mur, Phosphoric Acid


9. INGROWN TOENAIL (Onychocryptosis)

  • Nail Grows Into Surrounding Skin → Pain, Inflammation, Infection.
  • Caused by Tight Shoes, Improper Nail Cutting.
  • Mnemonic: "I.T.I." (Ingrown Nail → Tight Shoes, Improper Cutting, Infection)
  • Homeopathy: Graphites, Silicea, Hepar Sulph


10. PARONYCHIA (Nail Fold Infection)

  • Red, Swollen, Painful Nail Fold (Bacterial or Fungal).
  • Common in Nail Biters, Dishwashers.
  • Mnemonic: "P.N.I." (Paronychia → Nail Biting, Infection)
  • Homeopathy: Hepar Sulph, Silicea, Merc Sol


HOMOEOPATHIC REMEDIES FOR NAIL DISORDERS

  • For Brittle Nails: Silicea, Calc Fluor, Graphites
  • For Yellow Nails: Antimonium Crudum, Thuja
  • For White Nails (Leukonychia): Calcarea Carb, Phosphorus
  • For Blue Nails (Cyanosis): Carbo Veg, Lachesis
  • For Spoon Nails (Koilonychia): Ferrum Met, Nat Mur
  • For Clubbing: Digitalis, Lachesis
  • For Pitting Nails (Psoriasis): Arsenicum Album, Mezereum
  • For Beau’s Lines: Silicea, Phosphoric Acid
  • For Ingrown Toenail: Graphites, Silicea
  • For Paronychia: Hepar Sulph, Merc Sol

Mnemonic: "S.Y.W.B.I.P." (Silicea, Yellow Nails, White Nails, Blue Nails, Ingrown, Paronychia)


FINAL REVISION WITH MNEMONICS

  • Structure = "P.M.B.L.C.H." (Plate, Matrix, Bed, Lunula, Cuticle, Hyponychium)
  • Brittle Nails = "B.V.A.T." (Brittle → Vitamin Deficiency, Aging, Thyroid)
  • Yellow Nails = "Y.L.C." (Yellow → Lung Disease, Lymphedema, Chronic Infections)
  • White Nails = "W.L.T." (White → Liver, Trauma, Total Leukonychia)
  • Blue Nails = "B.C.H." (Blue → Cyanosis, Heart Disease, Hypoxia)
  • Spoon Nails (Koilonychia) = "K.I.D." (Koilonychia → Iron Deficiency)
  • Clubbing = "C.H.L." (Clubbing → Heart, Lung Disease)
  • Pitting Nails = "P.P.A." (Pitting → Psoriasis, Alopecia Areata)
  • Beau’s Lines = "B.I.T." (Beau’s → Illness, Trauma)
  • Ingrown Toenail = "I.T.I." (Ingrown → Tight Shoes, Improper Cutting, Infection)
  • Paronychia = "P.N.I." (Paronychia → Nail Biting, Infection)
  • Homeopathy = "S.Y.W.B.I.P." (Silicea, Yellow, White, Blue, Ingrown, Paronychia)


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