“…There is a bimodal peak of onycholysis in our study which can be explained on the basis of multiple causes of onycholysis which includes trauma, fungal infection, eczema, drug reactions, maceration, photo-onycholysis [23], hypothyroidism [24], hyperthyroidism [25], trauma [26], drugs like 5-FU [27], doxycycline [28][29][30], retinoids [31] and chemotherapy [32]. Our study also did not show any significant difference between the association of onycholysis with only nail changes or in association with skin/hair or systemic disease which can also be explained on basis of the multiple causes of onycholysis.…”