Onychogryphosis is a nail deformity in which the nail, most often the big toe, becomes curved and thick, this can affect all the nails causing abnormal curving, thickening producing a claw like appearance. Nail disorders result for fungal infections 50% of the time. The remainder results from various other causes. A formal diagnosis is advisable by a trained professional or a health care professional before any treatment begins.
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Routine testing for nail disorders include a routine blood test can check for hormone levels and bacteria in the body's system. A more intrusive test called arterial blood gas test and tests for pulmonary functions can be done if clubbing is suspected. A nail scrapping or biopsy is used to test for fungal infections or other underlying causes for the nail deformity.
Onychogryhosis can be a cause of an underlying medical condition such as Haim-Munk syndrome, which is a very rare disease that causes keratin gene mutations, the nail involvement and other associated features suggested that this was a distinct disorder and is associated with members of a small community of Jews from Cochin, India. Jadassohn-Lewandowsky syndrome is a rare, inherited disorder characterised by thickening of nails, white patch on the mouth, thickened hard skin on soles of the feet and palms of the hand.
Misdiagnosis of Onychogryphosis is useful in considering what other medical conditions might be possible for misdiagnoses or other alternative conditions that are relevant to diagnosis. Additional tests or repeating may be needed to confirm or rule out other causes. These alternate diagnoses of Onychogryphosis may have been discussed and recommended your doctor and may need to be considered as another alternative diagnoses. It is important to confirm a correct diagnosis to ensure an effective form of treatment is carried out.
Treatments include cutting and filing of the nail with a surgical procedure to remove the nail with the aid of local analgesia. Chemical avulsion of the nail and nail bed using urea ointment is helpful and provides some relief from the discomfort; chemical nail avulsion is effective when the nail is partially or totally detached from the nail bed. It is useful and can be successful in removing onychomycotic nails as well as thickened psoriatic nails.
Prevention and solutions of Onychogryphosis nail disorders and deformities begin when a diagnosis is made. Some nail disorders are caused by other medical conditions such as diabetes or genetic disorders. Proper fitting shoes or shoes that are specifically for a diabetic patient is highly recommended to prevent nail deformities of the toes. Genetic causes have no medical prevention to prevent deformities of the nails
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