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The nail matrix is the formative tissue at the base of the nail responsible for creating the cells that eventually harden to form the nail plate[1][3][7]. It contains nerves, blood vessels, and specific cell populations (keratinocytes, melanocytes, Langerhans cells, Merkel cells)[5]. The matrix is divided into germinal and sterile regions, each contributing uniquely to nail formation and adherence. Damage or disease affecting the matrix compromises nail growth and can produce lasting changes in nail morphology or health[1][5][7]. The matrix itself is not a molecular target for drugs, but its health is critical for normal nail function.
None directly applicable; systemic drugs may affect the function or health of the matrix as a secondary effect, leading to changes in nail growth or appearance
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