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Male patient, occupation painter, nails with whitish, breaking easily, tingling and numbness please share your valuable suggestions and treatment

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Patients occupation is board painting due to thinner use is one of the most common couse, he give history with no use of thinner his nail becomes normal colour, his Hb 13.8%

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Only thing i want to add pt is painter Hence we should not forget chem8cal poisoning like thinner is organophosphates lead or arsenic etc Beside syndromes and conditions sited by colleagues I agree it is leukonychia totalis

Thanx dr Soumya Hazra
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As he is a painter inthis case cause may be lead poisoning.suggest CBC.Serum lead level and treat accordingly.To avoid firect contact with paints.

To avoid direct contact with paints
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Leukonychia totalis... It is a nail condition characterized by complete whitening of the entire nail plate. It is usually inherited in an autosomal dominant manner. Less commonly, it may be inherited in an autosomal recessive manner, or acquired (not inherited) during a person's lifetime.. The most common cause of leukonychia is injury to the nail bed. These injuries can occur if you pinch or strike your nail or finger. Frequent manicures and pedicures or the use of gel or acrylic nails can also damage nail beds. Several other causes may be responsible for the unusual spots on the nails.

Leukonychia...causes _cardiac disease,liver disease, iron deficiency

Leukonychia totalis

Leukonychia

leukonchyia whitish nail Causes Arsenic poisoning Lead poisoning Pneumonia Heart disease Kidney failure Hypoalbuminemia Vitamin deficiency Ulcerative colitis Occupational trauma Zinc deficiency Protein deficiency Psoriasis Eczema Iron deficiency

Thank you doctor
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Leukonychia Totalis It is autosomal dominant disorder, some times it can be autosomal recessive It is commonly associated with many syndromes It is also some times associatiated with typhoid fever, leprosy, cirrhosis, trichinosis, and cytotoxic drugs Some times it can be idiopathic

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Illnesses that can lead to white nails include: iron deficiency anemia, a lack of iron in the body. liver cirrhosis, which is scarring of the liver. kidney disease.

Anaemia Liver disease Cardiac disease

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