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All twenty nails, skin, and mucous membranes should be examined during the initial physical examination, bearing in mind all possible causes of brown-to-black nail coloration. It is best to rule out the possibility that an exogenous substance on top of or beneath the nail plate is the cause of the linear nail coloring.
“Just as your skin starts to show age-related changes such as thinning and sagging, nails also show signs of aging,” says Dr. Kim. “Longitudinal ridging of nails is usually age-related and ...
Mees' lines can look similar to injury to the nail, which should not be confused with true Mees' lines. [1] Mees' lines appear after an episode of poisoning with arsenic, [2] thallium or other heavy metals or selenium, [3] opioid MT-45, and can also appear if the subject is suffering from kidney failure. [4] They have been observed in ...
Half and half nails (also known as "Lindsay's nails") show the proximal portion of the nail white and the distal half red, pink, or brown, with a sharp line of demarcation between the two halves. [ 1 ] : 785 The darker distal discoloration does not fade on pressure, [ 2 ] which differentiates Lindsay's nails from Terry's nails .
Muehrcke's lines were described by American physician Robert C. Muehrcke (1921–2003) in 1956. In a study published in BMJ, he examined patients with known chronic hypoalbuminemia and healthy volunteers, finding that the appearance of multiple transverse white lines was a highly specific marker for low serum albumin (no subject with the sign had SA over 2.2 g/dL), was associated with severity ...
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Beau's lines should also be distinguished from Mees' lines of the fingernails, which are areas of discoloration in the nail plate. As the nail grows out, the ridge in the nail can be seen to move upwards until it reaches the fingertip. When it reaches this point the fingertips can become sore for a few days as the nail bed is exposed by the ...
When the condition occurs on all the twenty nails of the fingers and toes, it is known as twenty-nail dystrophy, most evident in childhood, [4] favoring males. [ 2 ] [ 5 ] Trachyonychia causes the nails to become opalescent, thin, dull, fragile, and finely longitudinally ridged, and, as a result, distally notched. [ 6 ]