Nail plates are a vital component of the skin’s protective barrier system. They also play a key role in maintaining the integrity of the surrounding epidermal tissue and nail bed. This article will discuss the anatomy of nail plates, the various diseases that affect them, and how these conditions can be managed. The anatomy of the nail plate begins in the nail matrix, which is the living cell layer beneath the base of the nail. The nail matrix gives rise to the nail plate and the eponychium, which is the hard cuticle that forms the barrier between the nail bed and the nail plate itself. The matrix produces a single row of cells known as the nail plate, which over time, harden and flatten out to form a protective layer. It is composed of a tough, protective protein called keratin. Nail plates are also susceptible to a variety of diseases that can cause changes to their shape, texture, and even color. These include infection, inflammation, trauma, and even genetic factors. The most common nail plate disease is onychomycosis, which is caused by a fungal infection. Other chronic nail plate diseases include lichen planus, psoriasis and eczema. The management of nail plate diseases can include oral or topical medications, debridement, and topical steroids. Additionally, lifestyle modifications such as changes in dietary habits can be recommended. Surgery may be an option in the most severe cases. A medical professional, such as a dermatologist, can provide the most appropriate treatment. In conclusion, the nail plate is a critical component of the skin’s protective barrier system and it can be affected by various diseases. Fortunately, there are effective treatment options that can help restore and maintain the health of the nail plate.
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