Causes and risk factors
Trachyonychia is said to be an inherited autosomal dominant disease. However, the exact cause is still not known. Studies have shown that certain skin conditions can trigger trachyonychia. The most common among them are psoriasis, eczema, lichen planus, and alopecia areata.
Clinical presentation
Complaints often appear during birth or during childhood. The nails of both the upper and lower extremities are affected. The nails become brittle and rough. There is a typical appearance of longitudinal ridging or splitting seen. The nails become lose and discoloration occurs. Grayish white discoloration is seen.
Investigations
Usually the diagnosis can be confirmed on the basis of the history narrated by the patient and the examination carried out. Other nail disorders are ruled out. Usually no other investigation is needed.
Treatment
This condition is self-limiting and often resolves gradually as the age advances. However, there does not exist any effective treatment. Oral antifungal agents, systemic and topical corticosteroids can be given. Photochemotherapy can also be given.
Other modes of treatment:
Certain other modes of treatment can also be helpful in coping up with the symptoms. Taking into consideration the symptoms in a holistic way, homoeopathy can offer a good aid for the relief of the symptoms. The Ayurvedic system of medicine which uses herbs and synthetic derivates can also be beneficial in combating the complaints.
