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張英睿指出，灰指甲最常見的元凶，其實是指甲受損傷後，微生物趁隙而入，像是反覆使用含丙酮的指甲油去光水，易造成指甲脫水、脆裂，增加罹患灰指甲機率；而年輕女性流行做藝術指甲、水晶指甲，有時因不慎外傷或反覆剝離指甲，更可能造成甲床分離、指甲變薄。
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夏日案例－美甲過了頭 小心灰指甲留足跡https://www.chinatimes.com/newspapers/20130610000679-260113
https://www.chinatimes.com/newspapers/20130610000679-260113
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