Contents

SynopsisCodesLook ForDiagnostic PearlsDifferential Diagnosis & PitfallsBest TestsManagement PearlsTherapyReferences

View all Images (7)

Hairdresser's nails - Nail and Distal Digit
Other Resources UpToDate PubMed

Hairdresser's nails - Nail and Distal Digit

Contributors: Shari Lipner MD, PhD, Susan Burgin MD, Bertrand Richert MD, Robert Baran MD
Other Resources UpToDate PubMed

Synopsis

Hairdressers are reported to have certain disorders of the nail apparatus as a result of occupational exposure. Hairdressers are frequently exposed to water, shampoos, dyes, bleaches, permanent wave solutions, detergents, conditioners, and gloves.

Four main disorders are seen in hairdressers:
  1. Chronic paronychia
  2. Nail plate pigmentation that occurs from the use of certain dyes and results in pigmentation in any nail that has come in contact with the dye
  3. Contact dermatitis from shampoos or other products, which can present as koilonychia or as red, scaly plaques in a periungual distribution
  4. Trichogranulomas, which result from the implantation of hair beneath the nail plate; trichogranulomas present as subungual thickening, onycholysis, and visible hairs
By far, the most common nail disorder in hairdressers is chronic paronychia as a result of a trichogranuloma or from frequent immersion of nails in water. Onychomycosis, onychoschizia (nail peeling), and nail splitting may also occur.

Codes

ICD10CM:
L60.8 – Other nail disorders

SNOMEDCT:
17790008 – Disorder of nail

Look For

Subscription Required

Diagnostic Pearls

Subscription Required

Differential Diagnosis & Pitfalls

To perform a comparison, select diagnoses from the classic differential

Subscription Required

Best Tests

Subscription Required

Management Pearls

Subscription Required

Therapy

Subscription Required

References

Subscription Required

Last Reviewed:10/10/2019
Last Updated:11/04/2020
Copyright © 2024 VisualDx®. All rights reserved.
Hairdresser's nails - Nail and Distal Digit
A medical illustration showing key findings of Hairdresser's nails : Fingernails, Hairdresser, Nail fold erythema and edema, Koilonychia
Clinical image of Hairdresser's nails - imageId=1649980. Click to open in gallery.  caption: 'Distal onycholysis and hair shafts visible through the nail plate.'
Distal onycholysis and hair shafts visible through the nail plate.
Copyright © 2024 VisualDx®. All rights reserved.