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Dr. Lynn Cates
Specializing in pediatric infectious diseases and childhood immunizations.
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The Hazards of Artificial Nails
QUESTION
Dear Dr. Cates,
I have acrylic applied over the top of my nails along with lacquer containing nail polish (applied with a sprayer). Should I be concerned with the product, fumes, or increased risk of bacteria they may cause?

— Nails or No Nails in Olathe, Kansas

ANSWER
November 8, 2000
Dear Nails or No Nails,
You're wise to be concerned about potential health hazards from artificial fingernail products. The main chemical involved is ethyl methacrylate (EMA), which can cause skin rashes, asthma, and both eye and nose allergies. The people who are at highest risk are the nail technicians, but customers also can develop symptoms. Detailed information on how to control the chemical hazards during application of artificial fingernails can be found at http://www.cdc.gov/niosh/hc28.html.

Infections are another potential problem with artificial nails. Skin and nails normally harbor lots of bacteria and fungi, and even viruses. Usually these organisms don't cause infections unless there are breaks in the skin. However, artificial nails can trap them, allow them to multiply, and in large numbers they can cause nail, skin, and bone infections. For that reason, you should maintain your artificial nails carefully, and replace them regularly. Also, you should consult a healthcare provider if you develop any signs of inflammation (such as redness, tenderness, or swelling) around or under the nails, or if you have any reason to suspect that there is a problem.

— by Lynn Cates, M.D., F.A.A.P.

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