Skin & Nail ServicesQuestion 398 of 484
A client presents with the free edge of a fingernail visibly lifting away from the nail bed, with a whitish space underneath, but no obvious infection. This condition is best described as:
a.Healthy regrowth
b.Onycholysis (separation of the nail plate from the nail bed)
c.Pterygium (forward growth of cuticle onto the nail plate)
d.Onychomadesis (shedding of the entire nail from the base)
Explanation
Onycholysis is separation of the nail plate from the bed, usually starting at the free edge, creating a whitish gap. Onychomadesis is shedding of the whole nail from its base. Pterygium is abnormal forward growth of skin onto the plate.
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