HomeAnswersDermatologymelanonychia

How to manage dark lines on toenails and fingernails?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have had a dark line in my toenail for as long as I can remember, since childhood, and I never thought much of it. Years later, a similar line appeared in my fingernail.

I am wondering if this could be a sign of something serious or if I should be concerned about it?

Please help.

Thank you.

Answered by Dr. Suvash Sahu

Education:

MBBS

Professional Bio:

Dr. Suvash Sahu is a skilled Cosmetologist and Dermatologist with two decades of experience in skin health and aesthetics. He specializes in diagnosing and treating a wide range of dermatological conditions while offering advanced cosmetic procedures to enhance appearance. With his expertise, he combines medical care and aesthetic solutions, focusing on achieving healthy skin, restoring confidence, and improving overall quality of life for his patients.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome you to icliniq.com.

I have read your query and can understand your concern.

I have seen your query and examined your given picture. (attachment removed to protect patient identity). It seems you have developed melanonychia. The cause of this are many such as inflammatory nail diseases like lichen planus, racial, nevus in nailbed and rarely melanoma. You need to go for nail biopsy for confirmation.

I hope this answers your query.

Please let me know if I can assist you further.

Thank you.

Patient's Query

Hello doctor,

Thanks for your quick response.

Does this condition affect both toenails and fingernails? I would appreciate more information on the possibility of this toenail issue being an inflammatory disease that has persisted for such a long time. I have noticed this line since childhood. I also suspect I might have progressive macular hypomelanosis (though I have never had a biopsy). Is there any possibility that these two conditions could be linked? Additionally, I have tested negative for a fungal infection.

Thank you.

Answered by Dr. Suvash Sahu

Education:

MBBS

Professional Bio:

Dr. Suvash Sahu is a skilled Cosmetologist and Dermatologist with two decades of experience in skin health and aesthetics. He specializes in diagnosing and treating a wide range of dermatological conditions while offering advanced cosmetic procedures to enhance appearance. With his expertise, he combines medical care and aesthetic solutions, focusing on achieving healthy skin, restoring confidence, and improving overall quality of life for his patients.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

I have seen your query. Here are a few options for you:

  1. You can take tablet Biotin 10 mg once daily for three months. It can treat the nutrients aspects too.
  2. Biopsy will rule out other possible causes.

And accordingly, treatment can be advised.

Please feel free to reach out if you need further assistance.

Thank you.

Medically reviewed by Dr. Vinodhini J.
Published At March 24, 2020
Reviewed At February 3, 2025

Education:

MBBS

Professional Bio:

Dr. Suvash Sahu is a skilled Cosmetologist and Dermatologist with two decades of experience in skin health and aesthetics. He specializes in diagnosing and treating a wide range of dermatological conditions while offering advanced cosmetic procedures to enhance appearance. With his expertise, he combines medical care and aesthetic solutions, focusing on achieving healthy skin, restoring confidence, and improving overall quality of life for his patients.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Suvash Sahu is a skilled Cosmetologist and Dermatologist with two decades of experience in skin health and aesthetics. He specializes in diagnosing and treating a wide range of dermatological conditions while offering advanced cosmetic procedures to enhance appearance. With his expertise, he combines medical care and aesthetic solutions, focusing on achieving healthy skin, restoring confidence, and improving overall quality of life for his patients.

This doctor is not available for online consultations on the platform anymore.

Listen to related tracks in our music library
Comprehensive Second Opinion

Read answers about:

discoloured nailmelanonychia

Ask your health query to a doctor online

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.