25th September’2021
Changes in nail color may result from a color change in the nail plate or in the nail bed.
| Diseases | Clinical changes |
|---|---|
| Anemia | Diffuse white |
| Arsenic | Mees’lines -Transverse white lines |
| Cirrhosis | Terry’s nails-Most of nail, Narrow zone of pink at distal end |
| Congenital leukonychia | Syndrome of leukonychia, knuckle pads, Deafness; isolated finding; partial white |
| Darier’s disease | Longitudinal white streaks |
| Half and half nails | Proximal white and distal pink; Azotemia |
| High fevers (some diseases) | Transverse white lines |
| Hypoalbuminemia | Muehrcke ‘s lines -Stationary paired transverse bands |
| Hypocalcemia | Variable white |
| Malnutrition | Diffuse white |
| Pellagra | Diffuse milky white |
| Punctate leukonychia | Common white spots |
| Tinea and yeast | Variable patterns |
| Thallium toxicity(Rat poison) | Variable white |
| Trauma | Repeated manicure: Transverse striations |
| Zinc deficiency | Diffuse white |
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References: Clinical dermatology by Thomas P. Habif
MetCures 