00:00Hello, hello everyone! This is Lavrentia Valjona with you and today we're going to look at this kind of case.
00:04A client came to me and complained that, in general, she was happy with all her nails,
00:10but something went wrong with this thumb on one hand.
00:13Let's see how the other nails look first.
00:15By the way, she doesn't get any nail coatings, her nails are natural,
00:19she doesn't even use regular polish and she doesn't get manicures either,
00:22meaning she doesn't do any nail treatments.
00:24They say that her nails have been in this condition for about a year and a half, give or take.
00:29So, let's take a look at how her big toe looks.
00:32The arch is slightly changed, but in this case it doesn't really indicate anything specific for us.
00:37Her other nails aren't particularly even either, they just grow as they are.
00:42What we can see is some yellowing from the inside,
00:45and if we look under the nail, we can notice some flaking and an uneven smile line.
00:50So, the free edge is kind of distorted, basically it looks like onycolysis,
00:55but we can also see some small yellow oily spots along the edge.
00:59For now, I'll be working on it here in the video.
01:02Well, by working, I mean we'll trim it and slowly start dealing with it.
01:05Of course, this will be done while working with the client.
01:08I asked her how long this has been going on, under what circumstances and so on.
01:12She says it happened suddenly one day, but she can't say exactly when.
01:16Well, approximately a year and a half ago.
01:18She used to cover her nails with gel polish, but after this happened, she stopped using gel polish.
01:24And now, what should we do in this situation?
01:27How can we actually figure things out here in this case?
01:30This client likely has nail plate psoriasis, which was my first question.
01:35But the thing is, she doesn't have any signs of psoriasis anywhere else on her body.
01:40However, it's important to note that it's not necessary for there to be anything else on the body.
01:44It's possible that psoriasis will only appear on the nails, or even just on one nail.
01:49This happens too.
01:51So, psoriasis can affect not only the skin, but also the nails.
01:56In such cases, it's essential to see a dermatologist, which is a doctor who specializes in skin diseases.
02:02In general, psoriasis is a chronic disease, and it is not infectious.
02:07Most often, of course, psoriasis appears on the skin.
02:11Sometimes it can be found on the scalp, but occasionally there are cases like this.
02:16Only a doctor can make this diagnosis, and since I'm not a doctor, I can't do it.
02:21But I can recommend that the client see a doctor, which I advise all of you to do as well.
02:26What can I do as a podiatry specialist?
02:29I can gently trim the free edge and do a delicate cleaning.
02:32It can't be done aggressively, unlike typical onycolysis cases.
02:36So, we can't just clean everything all the way to the end.
02:40We need to act very, very carefully.
02:42In this case, I used pedicure nippers, I removed the length, and now I'm taking a drill bit,
02:47and carefully, almost in the air, trying not to touch the nail bed itself.
02:51I'm just slightly evening out the free edge, because one of the client's complaints was that it bothers her.
02:57When it catches on something, it even lifts up a little for her.
03:01That's why we're doing a very, very delicate cleaning.
03:04Unfortunately, psoriasis is currently considered a condition that isn't really curable.
03:09As commonly stated in medical references, it's a chronic condition, so refer the client to a doctor and monitor it.
03:17Additional recommendations may be given.
03:19As a pedologist, I can perform light cleaning and recommend moisturizing oils, as long as the person isn't allergic to
03:26any ingredients.
03:27That's important to consider.
03:29And I also want to say that if you or your client are diagnosed with nail plate psoriasis,
03:34then of course you shouldn't apply any kind of coating at all.
03:37No polish, no gel polish, no film, no powder, absolutely nothing, especially during flare-ups.
03:45Sometimes I know people with this problem use decorative nail polish that air dries.
03:50But this only happens when their condition is more stable.
03:54Still, there is always a chance that it could flare up again, so please be careful.
03:59Please see a doctor if you notice something similar in yourself.
04:03I want to remind podologists that we each have our boundaries, so just stick to your job.
04:08That's all from me, this was Aliona Bai.
04:11Bye bye.
04:11Bye bye.
04:11Bye bye.
Comments