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Fingernail Discoloration: Causes, Symptoms & When to See a Doctor

Fingernail discoloration can have a variety of causes, ranging from harmless to more serious. Here are some common reasons:

Harmless Causes:

* Nail polish: This is the most common cause of discoloration, especially if you use dark colors or don't remove it regularly.

* Trauma: Banging your nail or getting a cut can cause blood to pool under the nail, leading to a black or purple discoloration. This is usually temporary and fades as the nail grows out.

* Aging: As we age, our nails can become thinner and more brittle, making them more prone to yellowing or discoloration.

* Medications: Some medications, like chemotherapy drugs, can cause the nails to become discolored or brittle.

* Environmental factors: Frequent exposure to chemicals, detergents, or water can also lead to discoloration.

Potential Health Concerns:

* Fungal infection: Onychomycosis, a fungal infection of the nail, can cause yellowing, thickening, and crumbling of the nail.

* Bacterial infection: Paronychia, a bacterial infection around the nail, can cause redness, swelling, and pus.

* Psoriasis: This autoimmune disease can affect the nails, causing pitting, discoloration, and thickening.

* Lichen planus: This skin condition can cause white or gray streaks in the nails, as well as pitting and thickening.

* Iron deficiency anemia: This condition can cause spoon-shaped nails (koilonychia) and a pale discoloration.

* Liver disease: Yellowing of the nails (jaundice) can be a symptom of liver disease.

* Diabetes: High blood sugar levels can cause the nails to become thick, brittle, and discolored.

* Kidney disease: Discoloration of the nails can be a sign of kidney failure.

* Melanoma: Rarely, melanoma can spread to the nails, causing a dark streak or band.

It's important to consult a doctor if you experience any of the following:

* Discoloration that spreads or worsens over time

* Pain, swelling, or redness around the nail

* Changes in nail texture, thickness, or shape

* A dark streak or band under the nail

* Persistent nail discoloration after stopping the use of nail polish

A doctor can help determine the underlying cause of your nail discoloration and recommend the appropriate treatment.