Understanding White Spots on Your Nails: What You Need to Know

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When you hold a cosmetology license, you find yourself in some interesting situations—much like a healthcare professional. Friends often inquire about unusual issues regarding their appearance, asking for advice that sometimes resembles medical consultations.

“Hey, didn’t you used to do nails? Can you check out this thing on my foot? I think it might be a fungus.”

Ah, the joys of friendship. One day, a friend expressed concern over the appearance of her toenail and was visibly anxious about it. Having encountered various oddities in the world of nails, I braced myself for what was to come. After a moment of hesitation, she revealed her big toe. I noticed some white spots on her nail. As I examined it, I couldn’t help but chuckle.

What she was experiencing was not a fungal infection but rather leukonychia. Despite its intimidating name, leukonychia is quite common and generally harmless. The term itself is derived from Greek, meaning “white nails,” and refers to the presence of those white spots. These spots often result from minor traumas to the nail matrix, the area where the nail originates and grows. It’s likely that she had stubbed her toe or dropped something on it, leading to this minor injury. The reason the spots appear later is that it can take weeks for them to grow out from the matrix to the visible part of the nail, by which time the initial injury is forgotten.

Leukonychia requires no specific treatment; the spots will naturally grow out over time. A quick fix? Apply some dark nail polish and carry on.

If the white spots are more extensive and have a chalky or patchy appearance, dehydration might be the culprit. Insufficient water intake or prolonged wear of nail polish without moisturizing can lead to this issue. Nail polish can strip moisture from the nails, and using strong acetone can exacerbate the problem. It’s advisable to let your nails breathe for a few weeks and focus on hydrating them.

However, if you notice your nails thickening, becoming brittle, emitting an unusual odor, or turning yellow, it’s crucial to consult a healthcare professional promptly. And to my friends reading this—let’s agree to keep fungus-related concerns to a minimum.

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In summary, while white spots on your nails can be concerning, they are often harmless and simply a result of minor injuries or dehydration. Take care of your nails, and if issues persist, don’t hesitate to seek professional advice.