A classification of onycholysis has been reviewed. It is suggested that etiology be appended where possible, and the term ``idiopathic onycholysis'' be used in its true sense.
Cultural studies revealed that similar organisms were found under normal as well as abnormal nails with the possible exception of Candida albicans.
Histologic studies of nail clippings were feasible in determining the presence or absence of microbial invasion of the nail plate.
Therapy consisting of clipping away the affected nail, cleansing, and applying an antimicrobial and antifungal agent was successful in healing 16 of 27 cases.
The present study recognizes that other antimicrobial agents of sufficiently wide range could be equally successful when combined with thorough debridement and cleansing of the involved nail areas.
RAY LF. Onycholysis: A Classification and Study. Arch Dermatol. 1963;88(2):181–185. doi:10.1001/archderm.1963.01590200069013
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