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Why are gray nails so hard to treat and why?

Gray nail is really a poorly treated disease of the dermatophyte group!

Gray nails, medically known as onychomycosis, are usually a disease caused by a variety of dermatophytes, yeasts and molds that invade the nail plate or subnail tissue. Fungal infections are responsible for triggering gray nails and are contagious.



The reasons for this can be varied.

1⃣️The pathogens are complex and diverse, and the main fungi that cause gray nails are commonly Trichophyton rubrum, Trichophyton gypsum-like, Trichophyton floccosum, Trichophyton hirsutum, Trichophyton violetum, Trichophyton breakatum, Trichophyton rosaceum, Trichophyton concentricum, Candida albicans, yeasts, molds, and so on.

Using the wrong medication can lead to different results. It is difficult to solve the problem effectively with one type of medicine and one type of approach.

2⃣️ nails become a natural barrier, gray nails are fungal infections that cause subnail lesions. It is not easy for the medication to reach the affected area adequately. And the fingers and toes are far from the heart, the metabolism is relatively slow.

3 ⃣ ️ patients often for various reasons can not stick to the end, according to the body's normal rate of metabolism, the growth of a new fingernail needs about 100 days, a new toenail is needed about 300 days. During this period of time the need for care, many people because of work, life, hygiene habits and other skin diseases and lead to re-infection during the treatment and recovery.

This includes some patients who choose to take the internal medication because their bodies have abnormal liver and kidney function and are forced to discontinue taking the medication. Because of the antifungal internal medicine in the body to stay longer, are produced one of these some side effects.

In a nutshell, three feet of ice is not a day's worth of cold!

Most of the gray nail patients are not pay attention to the early stage, after several years of deterioration led to serious condition before starting treatment. And want to ten days and a half months can solve the problem, so do not adhere to the medication and protection resulting in has not been able to cure.


We would also like to remind you that prevention is important in any disease and it is important to strengthen your personal hygiene habits. Skin diseases caused by fungal infections are difficult to heal on their own if left untreated! So it must be early detection and early treatment, about 50% of patients with gray nails are due to skin fungal infections, the most common such as foot fungus leading to gray nails.

In a word, you must have the patience to stick to the medication and care for several months when you have gray nails. At the same time, we must strengthen personal hygiene habits and improve the body's immune system to enhance the ability to recover.

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It is also important to note that many non-fungal nail diseases are often treated as gray nails. Non-fungal nail diseases are complex and can be caused by a variety of factors including genetics, trauma, occupational factors, systemic diseases, micronutrient deficiencies, medication side effects, perinail inflammation, and subnail tumors.

In addition, there exists a disease with symptoms similar to those of gray nails, referred to as DD non-fungal nail disease. The full name is "Darier's disease" and it is a rare hereditary skin disease characterized by hyperkeratosis, papular and erythematous lesions. Histologically, it is characterized by hyperkeratosis, papules and erythematous lesions. Many people also tend to think of them as gray nail infections, a treatment that often fails.

In the current medical technology, gray nails have really become a difficult to cure dermatophytic fungal disease. The gray nail, which should be called onychomycosis, is in the vast majority of cases a disease caused by various dermatophytes, yeasts and molds on the nail plate or subnail tissues. Fungi are not only the "mastermind" of gray nails, but also the "driving force" behind their infectious nature. Therefore, the main reasons why gray nails are difficult to heal are as follows:

The first point is that the infected fungus is tenacious. This is a point that many patients tend to overlook. After a period of treatment, they feel that gray nails have been cured, so they give up to continue to take medication. However, they do not realize that there is still a part of the fungus is still tenacious "alive". These fungi that have not been eliminated will grow again in the right environment, causing gray nails to be difficult to heal.

Secondly, for dormant fungi, the "attraction" of drugs is not enough to wake them up. Those fungi do not react at all when we use drugs. But once we stop using the medication and wait for the right conditions such as temperature and humidity, the fungus will sprout, grow and multiply again.

The third point is that because of the problem of foot odor, it triggers the re-infectious nature of the fungus. In cases where it is common to have foot fungus first and then develop gray nails, there can be a repeat infection of the fungus within the toenail.

The fourth point is the diverse complexity of fungi. In general, there are the following three kinds of fungi that cause gray nails: dermatophytes, pathogenic yeasts and filamentous molds other than dermatophytes. But many patients do not know these differences, and often ignore this one problem when choosing drugs, are choosing a kind of drugs that only target a certain kind of fungus. And in fact, the role played by this drug is almost zero.

The fifth point, with dense and hard nails is also one of the reasons. The hardness and denseness of the nails make it difficult for general topical medications to penetrate, allowing the fungus to "win without a fight". And also because of this property, the fungus in the nails to obtain space to live.

Instructor: Chen Limei, Chief Physician, Department of Dermatology, Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine.

She has been engaged in the clinical, teaching and scientific research of Chinese medicine surgery for more than twenty years, specializing in the treatment of all kinds of difficult skin diseases by combining Chinese and Western medicine, especially in the treatment of eczema, urticaria, psoriasis, herpes zoster, pruritus and so on.

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A friend has already answered this in great detail, so I'll just briefly summarize.

1. Localized moist environments suitable for fungal growth.

2. Misuse of medication:

(1) Choosing the wrong medication, not listening to the doctor's advice, and buying their own medication and prescriptions.

(2) Insufficient use of a regimen. A word of caution: follow your doctor's instructions.

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How do you treat it?

Visit the dermatology department of a regular general hospital for a definitive diagnosis

(Not all gray nails are called gray nails!) (Not all gray nails are called gray nails!

Be sure to take your medication as prescribed by your doctor!

Why are gray nails so difficult to treat? The condition is not untreatable; gray nails, professionally known as nail fungus disease, can be tricky for patients and physicians alike, due to the difficulty of treatment, the long duration of treatment, and the potential adverse effects of systemic medication. Nail fungus is difficult to control and suffers from numerous problems such as a high recurrence rate of toenail infections, which is why it is seen as a nuisance by many people, especially young patients.

First, the specificity of the affected area, the structure of the nail plate of our nails is very special, the thickness is very dense, we usually treat foot fungus of topical antifungal drugs is very difficult to pass through, so for the fungus below the nail plate, the drugs play a limited role, not really able to kill the fungus. It is difficult for the drug to reach the affected area, so the difficulty of treatment is correspondingly increased.

Secondly, the disease of gray nails and nail growth rate is closely related, generally speaking, the growth rate of toe nails is half of the finger nails, which is one of the reasons why toe nail fungal disease is more likely to recur. This is one of the reasons why toe nail fungus is more likely to recur. Secondly, gray nails are more popular among middle-aged and elderly people because with the increase of age, the growth rate of nails of these people decreases, and the ability to fight against external fungal attack decreases.

Thirdly, trauma is another important factor in the development of gray nails, which explains the reason why some patients in the clinic say that their toenails are more likely to develop after being smashed by heavy objects or stepped on by other people, and young people who like to play football or soccer are more likely to suffer from gray nails.

Nail fungal disease is divided into different types, generally speaking, in addition to the superficial type of nail fungal disease can simply choose topical medication (such as amorolfine), the current more recognized treatment options are oral antifungal drugs, new antifungal drugs such as itraconazole, terbinafine, etc. on nail fungal disease has a very good therapeutic effect (about 80% effective rate), and the use of medication under the guidance of a physician is relatively safe.

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Gray nails are not difficult to treat, the hard part is persistence and patience oh. Generally speaking there are several reasons why gray nails are difficult to treat:

1, the special denseness and hardness of the nails, so that the general topical drugs are difficult to penetrate to kill the fungus, so that the nails used to block the fungus instead of providing a natural barrier to the reproduction of the pathogenic fungus, to provide a breeding ground for fungal parasites. So when treating gray nails, be sure to polish them thin so they can better absorb the medication.

2, generally speaking, the fungus is very tenacious, many people in the treatment of a period of time that gray nails cured, and did not continue to adhere to the drug, in fact, the fungus is still not completely killed clean, this small part of the fungus once in the conditions of the right situation will come back again, resulting in gray nails recurring again.

3, because of foot fungus led to gray nail re-infection. Foot fungus and gray nails can infect each other. So if you have foot fungus and gray nails, you need to treat them at the same time.

4, shoes and socks sterilization disinfection is not complete, resulting in cured gray nails again infected with fungi. So the treatment of gray nails need time, adhere to the medication.

These are some of the ways I've been working on gray nails, and I hope they help.

You can also communicate privately haha. My contact info is in my profile.

Warning signs of Qi and Blood blockage. Gray nails on the hands, serious stasis and blockage in the heart and lungs (upper jiao). Gray nails on the feet pulling is severe stasis and blockage in the Spleen, Liver and Kidneys. For me it's already tapped.

Medicine did not use the right, and did not adhere to, usually do not pay attention to hygiene, there are personnel foot gas plus gray nails, for these reasons will make gray nails long time not cured, less use of stimulating medication, you can try the jade of the nail, the effect will be a lot better!

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