Evidence map›Paper›PMID 31749091›Full record

ReviewDermatology and therapy2020

Pathogenesis, Clinical Signs and Treatment Recommendations in Brittle Nails: A Review.

Marco A Chessa, Matilde Iorizzo, Bertrand Richert, Jose L López-Estebaranz, Dimitrios Rigopoulos, Antonella Tosti, Aditya K Gupta, Nilton Di Chiacchio, Nilton G Di Chiacchio, Adam I Rubin and 7 more

Erratum issuedAbstract readReview
In one paragraph

Review in Dermatology and therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

  1. Review
  2. Article
  3. Nail Supplements: When, How, and Why?Skin appendage disorders · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Nails in older adults.Annals of medicine · 2024
    Review
  9. Review
  10. Exposome Impact on Nail Health.Skin appendage disorders · 2024
    Review
  11. Natural Treatment Options for Nail Disorders.Skin appendage disorders · 2024
    Review
  12. Article
  13. Review
  14. Review
  15. Review
  16. Leukonychia: What Can White Nails Tell Us?American journal of clinical dermatology · 2022
    Review
  17. Article
  18. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Marco A ChessaDermatology Unit, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy. marcoadriano.chessa@gmail.com.ORCID http://orcid.org/0000-0002-0149-8870
Matilde IorizzoPrivate Dermatology Practice, Bellinzona/Lugano, Switzerland.
Bertrand RichertSaint Pierre - Brugmann and Queen Fabiola Children's University Hospitals, Université Libre de Bruxelles, Brussels, Belgium.
Jose L López-EstebaranzUniversity Fundación Alcorcón Hospital, Madrid, Spain.
Dimitrios RigopoulosDepartment of Dermatology, National and Kapodistrian University of Athens, "A. Sygros" Hospital, Athens, Greece.
Antonella TostiDepartment of Dermatology and Cutaneous Surgery, Miller School of Medicine, University of Miami, Miami, FL, USA.
Aditya K GuptaDepartment of Medicine, University of Toronto, Toronto, ON, Canada.
Nilton Di ChiacchioDermatology Clinic - Hospital do Servidor Público Municipal de São Paulo, São Paulo, Brazil.
Nilton G Di ChiacchioDermatology Clinic - Hospital do Servidor Público Municipal de São Paulo, São Paulo, Brazil.
Adam I RubinDepartment of Dermatology, Hospital of the University of Pennsylvania, and Section of Dermatology, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Robert BaranNail Disease Center, Cannes, France.
Shari R LipnerDepartment of Dermatology, Weill Cornell Medicine, New York, NY, USA.
Ralph DanielUniversity of Mississippi, Medical Center, University of Alabama, Birmingham, AL, USA.
Soumya ChihebFaculty of Medicine and Pharmacy, University Hassan II, Casablanca, Morocco.
Chander GroverUniversity College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India.
Michela StaraceDermatology Unit, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy.
Bianca M PiracciniDermatology Unit, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nail plate brittleness (or fragility) is a common complaint affecting up to 20% of the population, especially women over 50 years of age, with fingernail fragility being more prevalent than toenail fragility. Nail brittleness is characterized by nails that split, flake and crumble, become soft and lose elasticity. The main clinical presentations are: onychoschizia, onychorrhexis, superficial granulation of keratin and worn-down nails. According to causative factors, we can distinguish 2 forms of nail fragility (NF): a primary "idiopathic or brittle nail syndrome" form and NF secondary to different causes such as inflammatory nail disorders, infections, systemic diseases and general conditions, traumas and alteration of the nail hydration. Optimal management requires treatment of the primary cause of brittle nails, when possible. In idiopathic NF oral supplementation, vitamins (especially biotin, also known as vitamin B7), trace elements and amino acids (especially cysteine) have been reported to be useful. In addition, several products, such as topical moisturizers and lacquers could be considered to restructure the affected nail plate and to reduce psychological impacts of this common problem.

Indexed as

AgingNail brittlenessNail cosmeticNail fragilityOnychorrhexisOnychoschizia

Identifiers

PMID31749091
PMCPMC6994568

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.