Back to Journals » Neuropsychiatric Disease and Treatment » Volume 6 » Issue 1

Measuring cortisol and DHEA in fingernails: A pilot study

Authors Warnock F, McElwee K, Seo R, McIsaac S, Seim D, Ramirez-Aponte T, Macritchie KA, Young AH

Published 16 December 2009 Volume 2010:6(1) Pages 1—7


Review by Single anonymous peer review

Peer reviewer comments 2

Fay Warnock1, Kevin McElwee2, Rubo J Seo3, Sean McIsaac3, Danielle Seim3, Tatiana Ramirez-Aponte3, Karine AN Macritchie3, Allan H Young3

1Developmental Neuroscience and Child Health, BC Children’s Hospital, Vancouver, BC, Canada; 2Department of Dermatology and Skin Science, 3Institute of Mental Health-Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada

Purpose: Abnormalities in both cortisol and dehydroepiandrosterone (DHEA) have been reported in psychiatric disorders. Analysis of saliva, urine and blood cortisol and DHEA levels provides an index of hormone levels over a short time period. Unlike such conventional measures, fingernails incorporate endogenous hormones that passively diffuse to the nail matrix from capillaries during keratinization. This study piloted the measurement of cortisol and DHEA levels in fingernails as a potential measure of their accumulated secretion of steroid hormones over a prolonged time period.

Method: Thirty-three university students (18–24 years) provided fingernail samples on two occasions over a school semester. The visits were scheduled so nail cortisol and DHEA levels were collected from periods when students might be under different levels of stress.

Results: During the putatively stressful period, the nail samples showed a significant increase in the cortisol: DHEA ratio (P = 0.0002) due to a significant decrease in the DHEA levels (P = 0.004) and a numerical but not statistically significant increase in the cortisol levels (P = 0.256).

Discussion: This pilot study showed that nails can be used to measure cortisol and DHEA, a measure which may reflect environmental stress. More work is required to further validate this technique which may prove useful in studies of both healthy individuals and patient groups.

Keywords: stress, nails, cortisol, DHEA

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.