In this article
Nail & Nail‑Bed Disorders in Cats: A Vet’s 2025 Guide 🐱💅
By Dr Duncan Houston, BVSc
🔍 Overview
Nail and nail‑bed disorders in cats—also called claw dystrophies—include a range of issues: torn nails, ingrown claws, infections (bacterial, fungal), autoimmune conditions, tumors, brittle or deformed nails :contentReference[oaicite:3]{index=3}.
⚠️ Causes
- Trauma & torn nails: Fractures, snagged claws causing pain and bleeding :contentReference[oaicite:4]{index=4}.
- Ingrown nails: Especially in elderly/less active cats—leads to pad penetration and infection :contentReference[oaicite:5]{index=5}.
- Infections: Paronychia (bacterial/fungal infection of nail fold), onychomycosis (fungal) :contentReference[oaicite:6]{index=6}.
- Autoimmune: Pemphigus foliaceus causing crusting/sores at nail beds :contentReference[oaicite:7]{index=7}.
- Nail dystrophy: Brittle (onychorrhexis), sloughing (onychomadesis), thickening (onychauxis) :contentReference[oaicite:8]{index=8}.
- Tumors: Rare nail‑bed tumors like squamous cell carcinoma or melanoma :contentReference[oaicite:9]{index=9}.
🚩 Signs to Watch For
- Persistent licking, biting or chewing at paws :contentReference[oaicite:10]{index=10}.
- Limping, holding paw up, pain when touched :contentReference[oaicite:11]{index=11}.
- Swelling, redness, discharge or bleeding around nail :contentReference[oaicite:12]{index=12}.
- Deformed, discolored, thickened or cracked nails :contentReference[oaicite:13]{index=13}.
- Non-healing sores, ulcerations or unusual growths :contentReference[oaicite:14]{index=14}.
🔬 Veterinary Diagnosis
- Physical exam: Pain assessment, nail evaluation :contentReference[oaicite:15]{index=15}.
- Diagnostic sampling: Skin scraping, cytology, bacterial/fungal culture :contentReference[oaicite:16]{index=16}.
- Biopsy/imaging: Needed if autoimmune disease suspected or tumors present :contentReference[oaicite:17]{index=17}.
- Bloodwork: To assess immune or systemic disease contributing to nail issues :contentReference[oaicite:18]{index=18}.
🛠️ Treatment Options
A. Trauma & Ingrown Nails
- Trim or remove damaged nail carefully—may require sedation :contentReference[oaicite:19]{index=19}.
- Apply antibiotic/fungal ointment and clean bandages; pain relief as needed :contentReference[oaicite:20]{index=20}.
B. Bacterial/Fungal Infections
- Topical/systemic antibiotics for paronychia; antifungals like griseofulvin, itraconazole for onychomycosis :contentReference[oaicite:21]{index=21}.
C. Autoimmune & Auto-inflammatory
- Immunosuppressives: steroids, cyclosporine, niacinamide-tetracycline :contentReference[oaicite:22]{index=22}.
D. Nail Dystrophy/Damage
- Regular trimming, possible debridement or nail avulsion for thickened nails (onychauxis) :contentReference[oaicite:23]{index=23}.
E. Tumors or Growths
- Surgical excision or amputation of affected digit for malignancies :contentReference[oaicite:24]{index=24}.
🏡 Home Care & Prevention
- Trim nails every 2–3 months, especially in indoor/senior cats :contentReference[oaicite:25]{index=25}.
- Keep paws clean and dry; inspect weekly.
- Provide paw-safe scratching surfaces to prevent overgrowth.
- Use breathable booties or bandages if needed post‑vet visit.
- Address underlying allergies or immune issues promptly.
- Use the Ask A Vet app for remote paw checks and expert support.
📅 Prognosis & Follow-up
- Most infections and trauma cases resolve fully with treatment :contentReference[oaicite:26]{index=26}.
- Autoimmune conditions may require long-term medication and monitoring.
- Tumor outcomes depend on early detection and cancer type; prompt surgery improves success :contentReference[oaicite:27]{index=27}.
- Regular rechecks and paw care essential to prevent relapse.
📝 Quick Reference Table
Issue | Signs | Treatment |
---|---|---|
Torn nail | Bleeding, limping | Trim/remove, bandage, antibiotics |
Ingrown nail | Pawing, pad penetration | Nail trim, pad care |
Paronychia/Onychomycosis | Swelling, discharge, deformity | Topical/systemic meds |
Autoimmune (PF) | Crusting at nailbed | Immunosuppressives |
Dystrophy/onyx issues | Thick, brittle nails | Debridement, trim |
Tumor | Mass, non‑healing lesions | Surgical removal |