Q&A

I have a male client in his 70s with nails that turn white then peel off.

Q.

I have a male client in his 70s with nails that turn white then peel off. He went to a dermatologist who prescribed a cream called Mentax. So far, no results. Why is this happening?

A.

There are several problems that cause nails to turn white and peel off. One of these is a fungal infection, and the client’s dermatologist must have made this diagnosis if Mentax cream was prescribed because it’s an antifungal preparation. Your client needs to be patient since it can take as long as four to six months to clear up a nail fungus. Ask your client if his dermatologist took samples from his nail to test for fungus because other conditions can cause white nails. Dehydration, for example, can cause the nails to become white and peel off. In addition, a systemic disease stemming from thyroid, liver, or kidney disorders can cause nails to peel and may even turn them white. Therefore, if no fungus is present in the nail, a medical evaluation by a physician would be recommended.--Richard K. Scher, M.D.

 

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