Conversation: The conversation between human and AI assistant.
[|Human|] I have lupus , RA, and Raynauds, which my pediatrist thinks caused my toenails to curl into the sides of my toes. They are no longer flat, but raised in an arc. He siad they should be removed. What happens after that. I haven t done it because I don t want to walk around forever without toenails. I ve been through enough.
[|AI|]  Hello, Are you still being seen by a Podiatrist? Or was that a podiatrist? Raised arc on toenails suggest a degree of clubbing that can happen in chronic inflammatory disorders like Lupus/RA. The Reynolds usually cause blue discoloration of nails, and hopefully you are on treatment for this.Toenails do NOT require removal, but trimming helps to avoid getting caught as they hurt in your condition. Please get another podiatrist. Thanks.