Perception of brittle nails in dermatologic patients: a cross-sectional study

Abstract

Brittle Nails Syndrome is characterized by fragility of the nail plate, affecting 27% of women. We evaluated dermatology patients in a cross-sectional study about perception of nail fragility. One hundred and thirtyeight women were included, with median age of 36.5 years. Nail examination showed changes in 57% and 49% reported nail fragility. The first three fingernails were the most affected. Onychoschizia was related to onychophagia (OR = 3.29), housework (OR = 2.95) and water contact (OR = 2.44). Onychorrhexis had the strongest association with nail fragility perception (OR = 17.89). The fragility was more perceived by those who were black, of mixed race and atopic, and was associated with depressed mood.

Psoriatic Nail Changes Are Associated With Clinical Outcomes in Psoriatic Arthritis

“…33 Another study looking at 68 participants with brittle nails and 70 without noted that 20.59% of those with brittle nails had onychorrhexis, and onychorrhexis was only found in 1.43% of those with nonbrittle nails. 34 Although the prevalence of rough onychorrhexis, and even onychorrhexis, is not known, it is thought that brittle nails themselves are prevalent in approximately 20% of the population, with females being twice as likely to experience this nail change. 35 A large percentage (23.9%) of participants in our study had rough onychorrhexis, with a significant correlation found between rough onychorrhexis and TJC (P < .001).…”

Pathogenesis, Clinical Signs and Treatment Recommendations in Brittle Nails: A Review

“…Pain may occur from deep splitting and catching everything. In a cross-sectional study, the perception of BN was even associated with a depressed mood [3].…”

Hair, Nail, and Skin Changes during COVID 19 Era

“…Kerkhof et al 20 reported that frequent moisturizing and drying may play an important role in housewives, hairdressers, and healthcare employees who habitually wet & dry their hands lead to fractures between nails plate -onychocytes‖ 21 .…”