Proximal Nail Atrophy Secondary to Recurrent Traumatic Manicure: A Case Report and Literature Review

Abstract Background: Recurrent traumatic manicure procedures can lead to significant damage to the nail and proximal nail fold. This case report discusses a 29-year-old female salon owner who developed proximal nail atrophy secondary to repetitive manicures. Case report: The patient presented with a 3-year history of tenderness, blackening, and swelling of the proximal nail folds, affecting multiple fingers. Initial treatments for fungal infections and eczema were ineffective. Histopathological examination revealed epidermal thinning, flattened dermal ridges, and a fibrocollagenous stroma. The diagnosis of traumatic manicure-induced proximal nail atrophy was made. The patient was advised to cease manicure procedures and was treated with Clobetasol Ointment, leading to significant improvement after six weeks. Conclusion: This case highlights the risks associated with improper manicure techniques performed by untrained individuals. Proper education and preventive measures are crucial to prevent such complications.