Date Posted:12:18:27 01/09/00 Sun Author:nailsplash Author Host/IP: ip-91-197.ord.primenet.com / 206.165.91.197 Subject: Re: Nail Plate Separation In reply to:
Maria
's message, "Re: Nail Plate Separation" on 16:01:22 01/04/00 Tue
What book are you referring to, I've never seen it before. Could you send me a copy of those 2 pages you are referring to, either here in email or snail mail to: Nail Splash, Inc., 106 W Calendar Ct, #252, LaGrange, IL 60525-2325 USA
Thanks, Barb barb@nailsplash.com
> > 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
