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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 ]
While Beau's lines are actual ridges and indentations in the nail plate, Muehrcke lines are areas of hypopigmentation without palpable ridges; they affect the underlying nail bed, and not the nail itself. Beau's lines should also be distinguished from Mees' lines of the fingernails, which are areas of discoloration in the nail plate.
Dark nails are associated with B 12 deficiency. Stains of the nail plate (not the nail bed) are associated with smoking and henna use. Splinter hemorrhages (or haemorrhages) are tiny blood clots that tend to run vertically under the nails. Drug-induced nail changes are caused by drug usage which may result in various abnormalities. [6]: 665–6
First, a crash course on what fingernail ridges even are: Vertical nail ridges (lines that run from your cuticle to the tip of your fingernail) are super-common, and are a normal sign of aging.
Onychomadesis is defined by the nail plate's detachment from the matrix, its continuous connection to the nail bed, and, frequently but not always, shedding. [4] Beau lines are transverse ridges on the nail plates. [5] Onychomadesis might be considered a more severe version of Beau lines. [6]
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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 ...
“Ridges can be longitudinal (vertical lines) traveling from the cuticle to the tips of your nail or transverse (horizontal lines) extending from one side to the other of your nail.” Photo ...