There is a growth of skin under four of my client’s nail and the nail plate near the free edge has a white color to it. I apply acrylic as an overlay to make her nails stronger. She takes blood pressure medication and Tamoxifen to prevent a recurrence of breast cancer. What is going on with her nails?
Dr. Rich: I don’t know for sure, but she may have an inverse pterygium, which is essentially an extension of the nail bed and hyponychium that attaches to the undersurface of the nail plate and grows beyond the normal hyponychium toward the free edge. Sometimes this condition is associated with connective tissue diseases such as scleroderma. I don’t think it is related to the products you are using on her.