Diseases of the Nails: When to See a Dermatologist

Your nails can reveal much more about your health than you might realize. Nail diseases can manifest as visible changes in color, texture, and shape, often signaling underlying conditions. At MDCS Dermatology, we understand the importance of identifying and treating nail disorders early to ensure your overall well-being.

Common Nail Diseases

1. Fungal Infections (Onychomycosis)
   Fungal nail infections are among the most common nail disorders. They can cause the nails to become thick, brittle, discolored, and misshapen. Though these infections may seem cosmetic, they can spread and worsen over time if left untreated.
2. Psoriasis of the Nails 
   Psoriasis doesn’t just affect the skin; it can also lead to changes in your nails, such as pitting, ridges, discoloration, and separation from the nail bed. Psoriatic nails are often associated with joint pain and other symptoms of psoriasis.
3. Bacterial Infections (Paronychia)
   This infection typically affects the skin around the nails, leading to redness, swelling, and pain. It may result from trauma or repetitive irritation, like nail-biting or exposure to harsh chemicals.
4. Nail Trauma 
   Injuries to the nails can cause splitting, bruising, and even permanent deformities. While minor trauma can heal on its own, more severe cases may require dermatological intervention.
5. Melanoma of the Nail (Subungual Melanoma) 
   Melanoma can develop under the nail bed, appearing as a dark streak that may seem like a bruise or mole. Early detection is critical, as this form of skin cancer can be aggressive if not treated promptly.

When Should You See a Dermatologist?
While some nail changes are benign and temporary, others may indicate a more serious condition requiring medical attention. Consider scheduling an appointment with one of our dermatologists at MDCS Dermatology if you notice any of the following:

• Persistent Discoloration: Yellow, brown, or black nails may indicate infections or more serious issues like melanoma.
• Changes in Thickness or Shape: Thickened, crumbling, or curved nails can be signs of fungal infections, psoriasis, or other health concerns.
• Pain or Discomfort: Persistent pain, swelling, or redness around the nails may suggest infection or trauma.
• Separation from the Nail Bed: If your nails start lifting or separating from the skin, it could be a symptom of psoriasis or fungal infection.
• Growths or Dark Streaks: Any unusual growths, lumps, or dark streaks under the nail should be evaluated by a dermatologist, as these could be early signs of skin cancer.

How MDCS Dermatology Can Help
At MDCS Dermatology, our board-certified dermatologists, including Dr. Carolyn Stull, are experts in diagnosing and treating nail diseases. We use advanced techniques and personalized care to manage conditions like fungal infections, psoriasis, and even skin cancer of the nails.

Don't ignore changes in your nails. Early diagnosis and treatment can prevent complications and ensure your nails stay healthy and strong. If you notice any of the symptoms mentioned above, schedule an appointment with MDCS Dermatology today for a comprehensive evaluation. Book here now!

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For more information, visit Dr. Carolyn Stull's profile at https://www.mdcsnyc.com/provider/carolyn-stull-md-faad or contact one of our convenient locations in New York or New Jersey.

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