Expert Foot & Ankle Treatment from Michigan’s #1 Podiatrist - Balance Foot & Ankle Specialist
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Expert Foot & Ankle Treatment from Michigan’s #1 Podiatrist - Balance Foot & Ankle Specialist
Trusted by 1M+ Social Media Followers
Keratin Granulations? Clear Up White Toenails with Confidence!
The white chalky substance underneath the toenail here is actually keratin granulations. Once we trimmed these nails, they were very healthy underneath. The patient was doing well!
After trimming back the initial thick toenails covered with toenail polish, we can see many keratin granulations and white spots built up here. This will need the removal of toenail polish and further care!
There is no secret to both keratin granulations or toenail fungus. We need to clean up the loose, chalky, and damaged toenails, then apply healthy moisturizing and antifungal medication to the remaining nail. This gives your toenail the best chance to heal!
Nail Problems
Discoloration
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Look:
So click on the photos for gallery mode & description!
Keratin granulations can manifest themselves in the following ways:






This is a very damaged toenail with extensive callus buildup underneath the toenail and dry, dead toenail. The best thing to do is trim it up and start an antifungal agent with moisturizing later on.
It is very difficult to know for sure without testing. But I recommend initially assume the diagnosis of having keratin granulations:
This very thick toenail is very clearly toenail fungus.
Rule #1: If your toenails are thick and yellow. It is toenail fungus!
Rule #2: If you have white on top of your toenail, it can be toenail fungus – but it probably is not!
The differential diagnosis of keratin granulations is a fungus called white superficial onychomycosis which should be treated by a podiatrist.
If your toenails have developed white, chalky patches after removing nail polish, you may be dealing with keratin granulations. While not dangerous, these superficial changes can affect the look and health of your nails. Our podiatry team can help you safely restore your natural nail texture with expert diagnosis and personalized care.
Since superficial white onychomycosis is not extremely urgent, try to cure your keratin granulations for a week, and if they start to get better, you know, it was not fungus.
In a short answer, yes, it can be just like any other infection. You don’t want to have a growing for too long.


























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