Abstract
Nail disorders account for about 10% of all dermatologic cases and are largely prevalent in older individuals. The geriatric population is at an increased risk for nail disorders because of an amalgam of factors, including the natural aging process, altered biomechanics, and dermatologic or systemic diseases as well as their treatments. Common clinical manifestations of the aged nail unit include altered chemical composition, histology, nail growth, nail color, contour, surface texture, and thickness. Additionally, age-related nail dystrophies such as brittle nails, onychomycosis, onychauxis, onychogryphosis, onychoclavus, onycholysis, onychocryptosis, splinter hemorrhages, subungual hematomas, and subungual exostosis are among the most common nail conditions in the elderly. Because of the possibility of pain, serious symptoms, impairment of daily activities, and the psychologic burden of asymptomatic nail changes, it is of value for practitioners to be aware of the signs and symptoms of nail disorders in the elderly. A knowledge base pertaining to this topic may facilitate improved assessment, diagnosis, and management of the various onychodystrophies encountered by this subset of the population.
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