Twenty-nail dystrophy (TND) is a condition that causes changes to some or all of your fingernails and toenails. Fortunately, especially in children, it’s usually harmless.
This article provides an overview of twenty-nail dystrophy and discusses 20-nail dystrophy treatment options.
What is twenty-nail dystrophy?
Twenty-nail dystrophy (TND) is a nail disorder that can affect fingernails and toenails. The nails may develop:
- ridges
- pits
- rough or dull surfaces
- discoloration
- thickening
Changes to the nails may be mild or severe, and discoloration, such as yellowing, could indicate a fungal issue, in which case, you might find our ultimate treatment guide helpful.
Sometimes, TND occurs along with other conditions, such as alopecia areata and lichen planus. However, it can also happen on its own.
TND is not caused by a fungus, but if you suspect a fungal infection on your fingernails, explore treatments that actually work. The cause of TND is often unknown.
Treatment and management
There’s no specific cure for 20-nail dystrophy. Instead, doctors manage symptoms, monitor the condition, and wait for it to resolve on its own.
A doctor may prescribe topical corticosteroids or other anti-inflammatory medicines to manage the symptoms, but if you suspect a nail infection related to gel nails, understanding how to treat and prevent nail infections is also important.
It’s important to monitor the nails on a regular basis. That way, you can track the condition and spot any complications or underlying causes.
The good news is that 20-nail dystrophy often resolves on its own. Also, it’s not contagious. So, if your child has it, you don’t have to worry about other people catching it.
Frequently Asked Questions
Is there a cure for 20-nail dystrophy?
Unfortunately, there isn’t a definitive cure for 20-nail dystrophy. Treatment focuses on managing symptoms and improving the appearance of the nails. Spontaneous remission can occur, but it’s unpredictable. Various therapies, like topical steroids or antifungals, might be used to help manage the condition, depending on the suspected underlying cause.
Is 20-nail dystrophy rare?
Yes, 20-nail dystrophy is considered a relatively rare condition. It affects both fingernails and toenails, and its exact prevalence in the population isn’t well-established. Because it can be associated with other underlying conditions like psoriasis or lichen planus, it’s essential to seek diagnosis and treatment from a dermatologist.
What causes twenty-nail dystrophy?
The cause of 20-nail dystrophy isn’t always clear. It can be idiopathic, meaning it arises spontaneously without a known cause. In some cases, it can be associated with other skin conditions like psoriasis, lichen planus, or alopecia areata. Fungal infections or certain medications might also play a role. Determining the underlying cause, if possible, can help guide treatment strategies.
Wrapping Up
Twenty-nail dystrophy (TND) is a harmless condition that changes the way your nails look. While there’s no specific cure, it’s important to understand the condition and manage your expectations. Often, TND resolves on its own. The most important thing is to monitor the condition and make sure it doesn’t get worse.