Nails

  • Figure 1.6 Nail anatomy
    Figure 1.6 Nail anatomy
    Nail plate
    • Consists of fully cornified cells (onychocytes); created by the nail matrix epithelium
    • Proximal nail matrix synthesizes the dorsal aspect of nail plate; distal nail matrix creates the ventral surface of the nail plate
    • Pink color of nail plate due to longitudinally situated subungual capillaries
    • Nail plate has firm attachment to underlying nail bed
  • Cuticle or eponychium: prevents separation of nail plate and proximal nail fold
  • Nail matrix:
    • Wedge-shaped area of specialized epithelium, divided into proximal and distal portion
    • Lunula demarcates distal portion of nail matrix
    • Melanocytes found in high concentration in nail matrix (mainly seen in the distal matrix)
  • Growth rate of fingernails 2–3 mm/month; toenails 1 mm/month
  • Complete replacement of nail requires 6 months for fingernail and 18 months for toenail