" I am a 61 yo palliative care nurse who has had a nail dystrophy for around 14 months. There is no pain or discomfort. I take no meds by mouth and am in good general health. Every 2 weeks I get a professional manicure and have never had acrylic, gel or silk. I tried "formaldehyde free" products for a while, as well as Biotin 5000mcg daily and noted no improvement. As part of my job, I visit patients in their homes and wash my hands before & after each visit. Rarely do I have the need to wear gloves. Your suggestions will be welcome."
Questions at this time:
1) Are all nails involved (including toe-nails)?
2) Has a dermatologist been consulted and have KOH prep and/or fungal culture been done?
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