Deterrence/Prevention
Patients with onycholysis should avoid contact irritants, trauma, and moisture.
Keep nail beds dry.
Keep nails short; clip affected portions.
Wear light cotton gloves under vinyl gloves for wet work.
Docetaxel-induced onycholysis may be prevented by wearing a frozen glove for 90 minutes during infusion of the chemotherapeutic agent.[14, 15]
Also see the clinical trial Evaluation of the Cryotherapy in the Prevention of Nails Toxicity Induced by Taxotere® in Breast or Prostate Cancer.
Prognosis
Severe cases of onycholysis that are left untreated may result in nail bed scarring.
Patient Education
Educate patients with onycholysis about avoiding possible contact irritants, trauma, and moisture.
For patient education resources, see the Skin, Hair, and Nails Center, Psoriasis Center, and Yeast and Fungal Infections Center, as well as Nail Psoriasis and Onychomycosis.
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