What is your approach to treating patients with chronically brittle nails?

Brittle nails is a relatively common condition, but pathophysiology of this nail condition is poorly understood. Thus, there is limited clinical trial data of treatments. Inflammatory, infectious, and systemic and traumatic conditions should be ruled in/out before starting treatment. For all patient...

I do recommend biotin 2500 micrograms and moisturizers. Use of soapless cleansers such as Cetaphil.