Nail Plate Thickening: Causes & Reasons

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Possible Causes for Nail Plate Thickening

Pityriasis Rubra Pilaris

Distal yellow-brown discoloration, subungual hyperkeratosis, nail plate thickening, and splinter hemorrhages indicate a diagnosis of type 1 pityriasis rubra pilaris rather [ncbi.nlm.nih.gov]

Nails change color and become yellow-brownish. The nail plate thickens but presents longitudinal ridges. [symptoma.com]

Nail changes are frequent and include nail plate thickening, yellow-brown discoloration, and splinter hemorrhages (Figure 6). [clinicaladvisor.com]

Trachonychia

Nail changes include Pitting (small, regularly placed pits, as on a thimble) Nail plate thickening (tunneled nail plate) Subungual hyperkeratosis (accumulation of keratinous [slideshare.net]

[…] bed Cause of photoonycholysis Green nail syndrome (P. aeruginosa) Thickening of entire nail plate, seen in elderly Onychauxis with ram's horn like deformity Most common great [quizlet.com]

[…] begins distally Pitting: very frequent Not seen Nail plate: thickened and discolored Thickened, discolored and tunneled Subungual debris: does not crumble it is firm Friable [slideshare.net]

Onycholysis

The nails of the fingers and toes showed nail plate thicken, subungual hyperkeratosis, onycholysis and some linear discoloration of nail plates: dark longitudinal streaks. [panafrican-med-journal.com]

Depending on the cause of onycholysis, the nail may have collected thickened skin underneath the edge of its nail plate, and the nail plate may have a deformed shape with [2minutemedicine.com]

Table and figures Table 1: laboratory tests done from point of care to discharge Figure 1: toes showed nail plate thicken, subungual hyperkeratosis, onycholysis especially [panafrican-med-journal.com]

Subungual Fibroma

Onychitis (nail plate deformity due to other causes) Sheding of the nail plate Rams horns - hypertrophy (thickening) of one shoulder of the nail. [quizlet.com]

The thickened section grows out towards the free edge. Temporary cessation of blood supply to nail plate. [proprofs.com]

Beyond the lunula, the nail plate is thickened and burrowed with cavities containing serous fluid. [ijdvl.com]

Onychomycosis

Trauma – Yellowing and thickening of the nail plate. Subungual wart – Thickening of the nail plate with subungual debris. [visualdx.com]

nail plates. [ncbi.nlm.nih.gov]

[…] more of the following minor clinical criteria: (i) nail plate thickening secondary to a comorbid condition; and (ii) minimal distal subungual hyperkeratosis or onycholysis [dermquest.com]

Nail Dystrophy

Physical examination revealed a pink scaly papule at the proximal nail fold with adjacent yellow-brown thickening of the lateral nail plate (Fig. 1a). [medicaljournals.se]

Dystrophic nails are nails that become misshapen, thickened, or feature a partially destroyed nail plate. [bergdpm.com]

Eventually nail fold retracts becomes thickened and rounded. [thefootshop.org.uk]

Congenital Onychauxis

Onychogryphosis refers to nail plate thickening with gross hyperkeratosis and increased curvature of the nail plate, either downward (oyster-like onychogryphosis) or upward [escholarship.org]

Stubbing your toe or dropping a heavy object on it can cause trauma to your nail bed and nail plate. The trauma may cause nail thickening. [healthline.com]

[…] pathological change in the nail plate and is characterized by a thickening of the nail without Deformation. [de.zxc.wiki]

Isolated Toenail Dystrophy

Other frequent but non-specific signs of nail psoriasis include signs of matrix diseases, such as nail plate thickening and opaqueness, nail plate surface abnormalities with [clinicaldermatology.eu]

This is always the case for pitting, and often true when ridging and nail plate thickening are associated with inflammation of the proximal nail fold. [skintherapyletter.com]

[…] matrix [Figure 2]. [2] Figure 2: Transverse grooves on the nail plate in a patient with psoriasis Click here to view Nail plate thickening and crumbling It suggests an extensive [e-ijd.org]

Paronychia

The nail plate thickens and is distorted, often with transverse ridges. Chronic paronychia See more images of paronychia ... What are the complications of paronychia ? [dermnetnz.org]

The nail plate thickens and is distorted, often with transverse ridges. Chronic paronychia See more images of paronychia ... What are the complications of paronychia? [dermnetnz.org]

Signs and Symptoms of Paronychia Runaround infection Pain Nail plates become thickened and discolored The cuticles and nail folds may separate from the nail plate Swelling [syracusepodiatry.org]

Hereditary Distal Onycholysis

Onycholysis (nail plate disorder due to trauma) Onychauxis or hypertrophy (nail plate disorder due to trauma) Thickening of the nail plate or abnormal outgrowth of the nail [quizlet.com]

Occupational softening and iron deficiency are probably the most common causes. [4], [5] Mild nail-plate thickening and discoloration are also indicative of an occupational [idoj.in]

Tinea Unguis, or ringworm of the nails, is characterized by nail thickening, deformity, and eventually results in nail plate loss. [nailsuperstore.com]

Pachyonychia Congenita

The distal third of the nail plate is thickened with increased transverse curvature. Onycholysis is secondary to subungual hyperkeratosis. [visualdx.com]

The nail plates are thickened to 1 cm (pachyonichia), become dense, from yellowish to brown, and there are longitudinal bands on their surface. [iliveok.com]

On examination, the nails showed thickened, lusterless nail plate of all the nails with upward growth of its distal portion. [ijpd.in]

Autosomal Recessive Pachyonychia Congenita

The distal third of the nail plate is thickened with increased transverse curvature. Onycholysis is secondary to subungual hyperkeratosis. [visualdx.com]

The nail plates also thicken naturally with advanced age. Traumatic injury is the origin of the onychogryphotic nail and the ostler’s nail. [podiatryarena.com]

Patients present with subungual hyperkeratosis and progressive thickening of the fingernails and toenails beginning a few months after birth. [visualdx.com]

Pachyonychia Congenita Type 1

On examination, the nails showed thickened, lusterless nail plate of all the nails with upward growth of its distal portion. [ijpd.in]

Treatment - Jadassohn Lewandowsky syndrome Currently, no ideal treatment for the thickened nail plate is available, although a few therapeutic options have been suggested. [checkorphan.org]

Thickened nail plates, focal palmoplantar keratoderma and natal teeth are variable features. [genedx.com]

Congenital Leukonychia

Upward angulation of the distal free edge of the thickened nail plate (progressive distal thickening) is a distinct feature [1] and helps to differentiate it from other disorders [ijdvl.com]

It is frequently idiopathic in newborns – especially on the big toe, where it is present in 33% of cases as a normal variant – and spontaneously regresses when the nail plate [karger.com]

[…] disease (hyperthyroidism), pregnancy nail thickening secondary to sublingual scales Psoriasis, fungal, eczema thin, longitudinal red brown lines along nail plate Infectious [quizlet.com]

Onychia

[…] yellow) ( Figure 1 ), onycholysis with or without subungual debris, nail-plate/nail-bed thickening, and ridging and/or pitting of the nail plate. [clinicaladvisor.com]

[…] yellow) (Figure 1), onycholysis with or without subungual debris, nail-plate/nail-bed thickening, and ridging and/or pitting of the nail plate. [clinicaladvisor.com]

Pus is usually present, along with gradual thickening and browning discoloration of the nail plate. [handresearch.com]

Pachyonychia Congenita Type 2

The nail plates also thicken naturally with advanced age. Traumatic injury is the origin of the onychogryphotic nail and the ostler’s nail. [podiatryarena.com]

Thickened nail plates, focal palmoplantar keratoderma and natal teeth are variable features. [genedx.com]

On examination, the nails showed thickened, lusterless nail plate of all the nails with upward growth of its distal portion. [ijpd.in]

Diffuse Palmoplantar Keratoderma

Nail changes most commonly seen were subungual hyperkeratosis, pitting [Figure 7], nail plate thickening, and rough and brittle nails were seen in 25% patients each. [ijpd.in]

During infancy, the nails are typically milky white, gradually thickening throughout childhood. [ncbi.nlm.nih.gov]

Nail changes were seen in 60% patients, leukokeratosis and hyperhidrosis were seen in 1% patients each. [ijpd.in]

Yellow Nail Syndrome

The dermatologic manifestations of YNS are slow/arrested growth of the nail unit, increased transverse curvature, nail plate thickening, absence of cuticles and yellow discoloration [karger.com]

On dermatologic examination, all of her nails showed a yellow-greenish discoloration with thickening of the nail plates, excessively curving a long both axes and loss of the [casesjournal.biomedcentral.com]

Patients generally complain of slowed or arrested nail growth: the nails become thickened and opaque, with yellowish or green discoloration and that lack the cuticles. [orpha.net]

Steatocystoma Multiplex With Natal Teeth

Thickened nail plates, focal palmoplantar keratoderma and natal teeth are variable features. [genedx.com]

[…] showing thickened, lustreless nail plate with subungual hyperkeratosis Click here to view Figure 3: Close-up view showing hypercurvature of the transverse axis of all nail [ijhas.in]

Patients with KRT6C mutations typically have callus-like palmoplantar keratoderma with little or no nail dystrophy. [genedx.com]

Tinea barbae and Tinea capitis

Endonyx Onychomycosis presents with milky white discoloration of the nail plate without thickening or lifting of nail plate. [medthical.com]

In distal lateral subungual Onychomycosis, the nail will have subungual hyperkeratosis (thickening of nail plate) and onycholysis (separation of nail plate from the bed). [medthical.com]

The nail plate is usually yellow-white in color at one side of the nail. [medthical.com]

Congenital Onychodysplasia

Upward angulation of the distal free edge of the thickened nail plate (progressive distal thickening) is a distinct feature [1] and helps to differentiate it from other disorders [ijdvl.com]

Transverse ridges due to repeated trauma on the thickened nail plate, pronounced curvature towards the distal free edge, onycholysis and discoloration usually are typical [handresearch.com]

Hereditary Koilonychia

Occupational softening and iron deficiency are probably the most common causes. [4], [5] Mild nail-plate thickening and discoloration are also indicative of an occupational [idoj.in]

Ringworm of the nails. Tinea Unguis, or ringworm of the nails, is characterized by nail thickening, deformity, and eventually results in nail plate loss. [hooked-on-nails.com]

The nail plate has been described as thickened, but a careful description has not been reported. [sites.google.com]

Epidermolytic Palmoplantar Keratoderma Type Vörner

Nail changes most commonly seen were subungual hyperkeratosis, pitting [Figure 7], nail plate thickening, and rough and brittle nails were seen in 25% patients each. [ijpd.in]

Nail changes were seen in 60% patients, leukokeratosis and hyperhidrosis were seen in 1% patients each. [ijpd.in]

Thumb Deformity - Alopecia - Pigmentation Anomaly Syndrome

(10-66%), onychogryphosis, onychomadesis, onychorrhexis, pitting, pressure changes, red spotted lunula, slowed growth, Terry’s nails, thickened plate, thinned plate, trachyonychia [dermadvocate.net]

[…] from the nail bed (onycholysis), and thickening and crumbling of the nail plate. [merckmanuals.com]

[…] ridging, with thickening and sometimes discolouration Chronic paronychia - refer to the related chapter Beau’s lines - horizontal grooves in the nail plate that occur when [pcds.org.uk]

Focal Non-Epidermolytic Palmoplantar Keratoderma

Nail changes most commonly seen were subungual hyperkeratosis, pitting [Figure 7], nail plate thickening, and rough and brittle nails were seen in 25% patients each. [ijpd.in]

Note the dystrophic nail changes in the form of onychographosis (hyperkeratotic and grossly thickened nail plates) which was more severe in both big toes, but less severe [scielo.br]

Nail changes were seen in 60% patients, leukokeratosis and hyperhidrosis were seen in 1% patients each. [ijpd.in]

Congenital Clubbing

It is frequently idiopathic in newborns – especially on the big toe, where it is present in 33% of cases as a normal variant – and spontaneously regresses when the nail plate [karger.com]

( Figure 3 ) is a thickening of the soft tissue beneath the proximal nail plate that results in sponginess of the proximal plate and thickening in that area of the digit. [aafp.org]

Anonychia Congenita Totalis

Seen in alopecia areata, lichen planus & psoriasis Pachyonychia: - Thickening of nail plate - Seen most commonly in onychomycosis(tinea unguium) - Also congenital - Hyperparathyroidism [rxpgonline.com]

It is frequently idiopathic in newborns – especially on the big toe, where it is present in 33% of cases as a normal variant – and spontaneously regresses when the nail plate [karger.com]

Onychogryphosis [ 8 ] Thickening and hardening of the nail plate, which becomes curved Also called ram's horn nails Mainly seen on big toes of the elderly, associated with [patient.info]

Chronic Generalized Exfoliative Dermatitis

Nail examination revealed yellowish, thickened nail plates with subungual hyperkeratosis, onychomadesis and absent cuticle [Figure 1] f]. [cancerjournal.net]

The nail plate is often thickened and lusterless with horizontal depressions (Beau’s lines). [bobbybukamd.com]

Subungual hyperkeratosis, the accumulation of keratinaceous material under the nail plate, may occur leading to distal onchycholysis, separation of the nail plate from the [bobbybukamd.com]

Tinea Manuum

[…] involvement in the form of discoloration and thickening and crumbling of the nail plate Erythrasma Psoriasis Contact dermatitis Dyshidrosis (pomphylox) Scabies Pitted keratolysis [accessmedicine.mhmedical.com]

thickens and turns yellow. [pcds.org.uk]

[…] the toe webs, perhaps with sodden maceration There may be grouped vesicles distributed anywhere on the soles or palms, generalized exfoliation of the skin of the soles, or nail [accessmedicine.mhmedical.com]

Erythrokeratoderma

The nails of the left hand and feet were thickened with a yellowish discoloration, accompanied with transverse ridges in some nail plates. [ijdvl.com]

Because palmoplantar erythema and nail-plate thickening with a yellowish discoloration are common signs of patients in this family, 10 patients with abnormal nails had their [ijdvl.com]

(c) Nail-plate thickening with a yellowish discoloration Click here to view Histological examination of skin biopsy taken from the left forearm showed marked hyperkeratosis [ijdvl.com]