3. Assess for impaired nutritional status and/or vitamin deficiency
4. Recommend that patients protect weak, breakable nails; for example, by limiting the
time hands are in water, and wearing gloves for dishwashing and gardening.
5. Recommend nail strengtheners (eg, Knox gelatin), clear-coat polish, and liquid gel to
help decrease splitting and breakage.
6. Treat psoriasis if that is the etiology.
7. Refer to dermatologist in the event of progressive nail loss, bleeding, or infection.