Re: Nail Plate Separation -- Nailsplash.Com Education For Professional Nail Techs

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Date Posted: 16:01:22 01/04/00 Tue
Author: Maria
Author Host/IP: spider-tj062.proxy.aol.com / 152.163.213.202
Subject: Re: Nail Plate Separation
In reply to: nailsplash 's message, "Nail Plate Separation" on 16:04:08 01/03/00 Mon

> Following is a series of conversations I've recently
> had by email with a reader of my website who was doing
> some research to solve a nail related problem. I've
> copied and pasted the whole series below, rather than
> try and re-tell the whole story. So please read on and
> then send me your comments!
> ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
> Hello Barb,
>
> First let me say that I am in awe of the amount of
> knowledge you possess
> as indicated by your responses on your FAQ page. I am
> an orthopedic surgeon
> and am writing on behalf of my wife who suffers a
> similar problem as some of
> the clients of your readers. After using a Nailtique
> nail hardener product,
> she experienced a distal onycholysis (splitting away
> of the far nail from the
> underlying nail bed) for approximately 1/3 the of the
> way. This was 5 years
> ago and after numerous dermatologists, allergists,
> patch testing, blood
> testing and alleged nail experts who won't accept
> insurance, we are still
> without an answer. I know you have recommended that
> anyone with the problem
> see a MD. I have seen more MDs in the past few years
> to last a lifetime. She
> has had her thyroid and blood counts checked (for
> anemia).
>
> Can you possibly shed some light on this problem?
> Again, you have a
> wonderful web site and it seems you have more
> knowledge in this area than
> most anyone I've met thus far.
>
> Thank you so much.
>
> Gary Gugliada, M.D.
> ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
> Hi Gary,
>
> Since I'm not a Dr., I am of course NOT licensed to
> diagnose. So even if I could SEE the problem
> firsthand, it's unlikely I could actually "diagnose"
> it. I'm flattered that you would ask my opinion on the
> subject, but honestly, if that many medical minds
> (yours included) can't come to a solution...... That
> said, now I'll attempt to help and guide as best I
> can. Please answer the following questions to help me
> understand the problem better.
>
> 1) Does she still, to this day have the nail
> separation?
>
> 2) Has it ever get any better or worse?
>
> 3) What remedies has she tried and/or been prescribed?
>
> 4) Is there any discoloration associated with the
> separation? If so, where; under the nail plate (on the
> bed), "in" the nail plate (as a stain of the nail), or
> on top of the nail plate (superficial, can be buffed
> or bleached away)?
>
> 5) What does the nail bed under the nail look like? Is
> there scar tissue now present?
>
> 6) Has she been cultured for fungal infections
> (specifically dermatophytes)?
>
> 7) Has she been tested for specific allergies
> (dermatological, such as to formaldehyde)?
>
> 8) Was there ever any sign of allergic reaction (i.e.
> itching, redness, blistering, etc) around the nail
> shortly before the detachment began?
>
> 9) What other nail products was she using at the time
> this problem originated? What nail products has she
> been using since (i.e. nail polish, etc)?
>
> 10) Digital or scanned photos would also be helpful.
> What is your wife's name? Where do you live? (Climate
> can be a consideration.)
>
> I'll do my best to help, and would like to share your
> story with my newsletter readers; perhaps one of them
> might be able to provide some anecdotal relief!
>
> Take Care,
>
> ----Barb!
> www.nailsplash.com
> barb@nailsplash.com
> ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
> Barb,
>
> Thank you for such a quick and extensive reply. I
> don't think all the
> "specialists" combined asked all the questions you
> asked. I'll have my wife
> answer everything as best as possible and get the
> results back to you.
> I wish you all the best for the next 1000 years and
> thank you again for
> your time and consideration.
>
> ---Gary
> ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
> Gary's wife answers the questions posed above:
>
> QUESTION 1) Does she still, to this day have the nail
> separation?
>
> ANSWER Yes, the last 1/3 of the nail appears "white"
> below. This began almost immediately after using the
> Nailtique nail hardener 5 years ago.
>
> QUESTION 2) Has it ever get any better or worse?
>
> ANSWER There are times when it seems to improve,
> usually when the nails are short
> But other tomes it seems to extend half way down from
> the far end.
>
> QUESTION 3) What remedies has she tried and/or been
> prescribed?
>
> ANSWER She has been to 3 dermatologists and three
> allergists. Initially they thought it was a Candida
> Albicans infection based on a DTM plate (Dermatophyte
> test medium) and began topical therapy with Loprox.
> I'll give you a run down of what was tried. Topical
> Lopox, then a course of Diflucan (thinking it was
> still a yeast) then a 6 month course of Sporonox,
> Daily soaks in white vinegar and water, topical
> steroids (thinking it was psoriasis) even though no
> pitting was present. Moisturizers such as Lac Hydrin
> were also recommended. Nothing helped.
>
> QUESTION 4) Is there any discoloration associated with
> the separation? If so, where;
> under the nail plate (on the bed), "in" the nail plate
> (as a stain of the
> nail), or on top of the nail plate (superficial, can
> be buffed or bleached
> away).
>
> ANSWER No staining or "oil spot" sign associated with
> psoriasis. If you look at the white color, there
> appears to be a reddish hue. However, it is not
> similar to a "Half and half" nail or Terry's nail.
>
> QUESTION 5) What does the nail bed under the nail look
> like? Is there scar tissue
> now present?
>
> ANSWER It is difficult to see under the nail and
> without avulsing it, I really can not say.
>
> QUESTION 6) Has she been cultured for fungal
> infections (specifically dermatophytes)?
>
> ANSWER 2 cultures, one + for C.albicans and a 2nd was
> negative.
>
> QUESTION 7) Has she been tested for specific allergies
> (dermatological, such as to
> formaldehyde)?
>
> ANSWER She has had extensive testing and has tested
> positive for Formaldehyde, Quaternium 15, Cobalt,
> Ragweed, Dust. They further broke down the
> formaldehyde testing into various sub groups. She has,
> however, avoided all of these products for a very long
> time.
>
> QUESTION 8) Was there ever any sign of allergic
> reaction (i.e. itching, redness,
> blistering, etc) around the nail shortly before the
> detachment began?
>
> ANSWER Yes, when the Nailtique was applied she
> experienced a painful periungual burning.
>
> QUESTION 9) What other nail products was she using at
> the time this problem
> originated? What nail products has she been using
> since (i.e. nail polish,
> etc)?
>
> ANSWER The only instigating factor seems to be the
> Nailtique. Lately she hardly uses anything except
> Almay on occasion.
>
> QUESTION 10) Digital or scanned photos would also be
> helpful. What is your wife's
> name? Where do you live? (Climate can be a
> consideration.)
>
> ANSWER We live in New York City-I will try to
> photograph her nails and send them.
>
> Thank you so much for all the time and thought you
> have put in. Please use our story however you'd like.
> Sometimes I fear she has a permanent scarring of the
> nail bed that will not allow the underside of the nail
> to adhere anymore.
>
> Thank you again,
>
> Gary
> ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
>
> Hi Gary,
>
> I too am fearful that you may be right in that
> permanent scarring has occurred, which may prevent
> reattachment. It seems as if every remedy has already
> been tried; I'm not sure if there is anything else to
> hope for! Of course keep the nails as short as
> possible to prevent any further detachment and avoid
> all nail products (polish, removers, etc) and harsh
> chemicals (household cleaning supplies, etc). I will
> forward your question to my mailing list of
> professional techs to get their opinions on the
> situation and will also forward it to other respected
> authorities in the field to see what insight or hope
> they may have to offer. I look forward to receiving
> the photos and will also forward those ASAP.
>
> ----Barb
> ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
>
> Well, I'm stumped

Barb, I was in my "Bible" again (Precription for nutritional
health. It says here that Nails seperated from the Nail Bed "MAY" signify a thyroid disorder. Gary should check out this Vitamin Book. She might be deficient in something. My customer has had this for about the same amount of time, and She does have a thyriod disorder. I hand out to all my nail clients, this printed out 2 pages of Nail Problems.
If you get the book, I am talking abot page 250-251. Hey ya never know, Right? Good Luck to Gary's wife! Maria

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Re: Nail Plate Separation -- nailsplash, 12:18:27 01/09/00 Sun