Why Do Nails Change? | Can Chemo Cause Nail Loss? | Symptoms | Permanent Changes | Nail Care

Chemotherapy is a powerful treatment used to treat cancer. However, it often comes with a range of side effects, including changes to nail health, often referred to as "chemo nails." This guide aims to shed light on why these changes occur, what to look out for, and how to care for your nails during this challenging time.

Why Do Nails Change?

Chemotherapy targets rapidly dividing cells, like cancer cells. Unfortunately, it also affects other rapidly dividing cells, such as those in the nail bed. This disruption can lead to various nail changes, including brittleness, discolouration, and other alterations to nail health.

Can Chemo Cause Nail Loss?

It's possible to lose your nails as a side effect of chemotherapy. Chemotherapy interferes with nail development, resulting in weakening and potential loss of nails. Some people may experience nail bed inflammation, resulting in loose and falling nails.

Common Symptoms of Chemo Nails

• Fissures: Small cracks or tears in the nail plate.
• Hemorrhage: Tiny red lines indicating bleeding under the nail.
• Hyperpigmentation: Darkening of the skin or nails.
• Paronychia: Inflammation and redness of the nail bed.
• Onycholysis: Lifting of the nail plate.
• Nail Loss: Complete loss of the nail plate.
• Ridges or Lines: Textural changes in the nails.
• Koilonychia: Flattened or concave nails, often linked to anaemia.
• Beau's Line: Temporary nail growth cessation.
• Subungual Lesions: Dark areas near the cuticle.

Permanent Changes

The good news is that most nail changes resulting from chemotherapy are not permanent. After completing treatment, nail health typically improves, with many individuals experiencing a full recovery from their nail condition.

Nail Care During Chemotherapy

• Moisturise: Keep nails and cuticles hydrated.
• Protective Measures: Use gloves during chores.
• Trim Nails: Keep nails short to prevent damage.
• Gentle Products: Avoid harsh chemicals in nail care products.
• Dark Nail Polish: Use non-toxic polish to cover discolouration.
• Post-Chemo Care: Follow a nail-strengthening routine after treatment.

By understanding these effects and taking preventive steps, you can maintain better nail health during and after chemotherapy. For more tips on managing chemo side effects, check out our skincare guide.