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True leukonychia: These white spots originate from the nail matrix (where your nail grows) and appear on the nail plate, says Dr. Lal. These spots do not disappear with pressure.
Apparent leukonychia is caused by changes in the nail bed that are visible through the nail plate. A number of patterns of apparent leukoncychia, including Terry's nails , half-and-half (Lindsay's) nails , and Muehrcke's lines , have been classically characterized.
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]
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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It may form for different, and sometimes dangerous, reasons.
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Apparent leukonychia; Beau's lines; Blue nails; Bromidrosis (apocrine bromhidrosis, fetid sweat, malodorous sweating, osmidrosis) Bubble hair deformity; Central centrifugal cicatricial alopecia (follicular degeneration syndrome, pseudopelade of the central scalp) Chevron nail (herringbone nail) Chromhidrosis (colored sweat) Chronic paronychia ...