FINGERNAIL
DISORDERS:

Nail pitting - a disorder in the fingernail

Nail pits - fingernail disorders

Nail pitting

 

What is nail pitting?

Nail pits are small, round depressions on the surface of the nail plate. They are usually due to disease in the proximal matrix, or sometimes, the proximal nail fold. And the arrangement of the depressions in the surface of the nail is presumably due to the extent and location of the disease in the nail matrix.

Random pits in the nail can be seen as an idiopatic finding. When the pitting is uniformly distributed, giving the entire nail plate a roughned appearance, it is called trachyonychia.

Treatment of nail pits should be directed to the matrix of the nail.

What causes nail pitting?

Nail pits are usually the result of:

• psoriasis (10-50% of patients have nail pits);
• alopecia areata;
• eczema;
• Reiter’s syndrome;
• incontinentia pigmenti;
• in children nail pitting can be a normal condition of the nail (not caused by a disease).

MORE ABOUT THIS FINGERNAIL DISORDER:
Nail pitting – a disorder in the nail

PHOTO – Nail piting in fingernails:

Nail pitting in the ring finger nail

SUGGESTIONS FOR FURTHER READING:
Common diseases in the fingernail & toe nail!
News about fingernails!
Fingernails are the barometer of your health!
Advertisements

Michael Jackson's fingernails in 2005.Michael Jackson's fingernails at the World Music Awards, november 15, 2006.Michael Jackson's fingernails spotted earlier this year (february, 2009).
Michael Jackson’s fingernails in 2005 (left), 2006 (center) & 2009 (right) – ‘click’ for larger versions!

Michael Jackson had abnormal fingernails, but his nails were not related to his vitiligo & lupus!

While the first autopsy results related to Michael Jackson’s death were presented earlier this week, there are still many discussions about the state of Michael Jackson’s health – only a few days before his death his health was described by his spokesman Doctor Tohme Tohme as: a ‘perfect health‘.

In the perspective of his death it is also important to know that Michael Jackson was diagnosed in 1986 with vitiligo and lupus. Lupus is known as a potentially lethal disease (heart disease is a major complication in lupus!), but in Michael Jackson it was recognized to be in remission. Anyhow, one can still wonder: can his fingernail problems be related to the vitiligo and/or the lupus? The answer to this question appears to be a simple: ‘no’!

For, vitiligo is related to the following nail disorders:

• Longitudinal striations;
• Trachyonychia (thin & lusterless nails);

And lupus is related to the following nail disorders:

• Nail spooning;
• Irregular, twisted, and dilated vessels at the cuticle.

CONCLUSION:

Out of the 4 described fingernail disorders related to vitiligo and lupus, the 4th can be related to his hand deterioration that was observed in 2009. But none of these fingernail disorders can be related to the typical looks of Michael Jackson’s fingernails during the last 3 years of his life.

But one should not forget that Michael Jackson’s fingernail problems were first recognized by the media in 2006, when members of Michael Jackson’s family were terrified that his escalating dependence on prescription drugs had become a danger to his life.

While Michael Jackson’s lupus was considered to be in remission, one could also speculate that his hand deterioration + his sudden death might have signaled a lupus relapse … due to an excessive use of prescription drugs???

SUGGESTION FOR FURTHER READING:

In memoriam: ‘The hands of Michael Jackson’!
How Michael Jackson’s autopsy results relate to his hand
Michael Jackson’s hands: a clue to his sudden death?
Michael Jackson’s hands: a manicurist’s worst nightmare!

Another example of Michael Jackson’s “unhealthy” dark fingernails:
Michael Jackson's fingernails in 2007.