Also, the cuticular seal of the nails should be intact, and the nail plate should adhere to the nail bed, says Dr. Thomas ...
In this case, the white spot will appear from the nail bed, as it’s caused by a disruption to the growth of the nail. “This will present as white spots as the nail grows out,” Dr Lynch adds.
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White spots can also be the result of repeated trauma to the nail bed — this means that getting manicures too often can cause spots, even if there isn't a significant injury, says Engelman.
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