Abstract

Grooming and adornment of the nails has become very popular among women in modern society. It has been estimated that Americans spend more than $1.5 billion a year on nail care and nail cosmetics.1 Nail care ranges from simple buffing of the nails to a basic manicure to sculptured artificial nails. The nail is important not only for its cosmetic attributes, but also serves structural and functional purposes for the fingertip, such as assisting fine motor tasks, sensation of touch, and protection of the distal phalanx.2 The dermatologist sees a myriad of patients with nail problems. Nail disease may be caused by systemic illness or external factors, such as trauma and infection. Cosmetics applied to the nail by either a professional or by the patient at home may also cause nail disease. It is important for the dermatologist to be familiar with the products that are used on the nails and their potential adverse effects.3

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