Once this is done, nails should gradually grow back normally. Treatment involves treating or eliminating the cause.Local causes - eg, trauma or chemicals.Infection - eg, candida, dermatophytes, pseudomonas, herpes simplex.When nail bed separation begins in the middle of the nail then appearance resembles an 'oil spot' or 'salmon patch'.If Pseudomonas aeruginosa grows underneath the nail then there may be a green colour.In psoriasis there may be a yellowish-brown margin between the margin between the normal nail (pink) and the detached parts (white).Air under the nail may cause a grey-white colour but can vary from yellow to brown. The nail becomes detached from its bed at the base and side, creating a space under the nail that accumulates dirt. A Cochrane review found that surgical treatments were more effective than non-surgical treatments.
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