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Common nail findings associated with diseases

May be useful for General practitioners and Medical Students. Common Nail Findings associated with diseases. 1. BEAU'S Lines- These are transverse grooves or depressions parallel to the lunula. Caused by the conditions that cause the nail to grow slowly or even cease to grow for short intervals. The point of arrested growth is seen as a transverse groove. Often associated with - infections (Typhus, Acute Rheumatic Fever, AIDS) -Protein deficiency -Pellagra -Raynauds disease -Diabetes -Hypothyroidism -Hypocalcemia -Chronic Pancreatitis 2. MEES' Bands- White transverse line or band parallel to lunula resulting from poisoning or systemic illness.seen in -Chronic arsenic poisoning -Hodgkins disease -CHF -Leprosy 3. LINDSAY'S Nails- also called half & half nails. Proximal portion of Nail bed is whitish whereas distal part is red or pink. commonly associated with -Chronic Renal Failure -Azotemia 4. TERRY'S Nails - are white nail beds to within 1 to 2 mm of distal border of nail associated with -Hepatic Failure -Cirrhosis -Hypoalbuminemia -Chronic CHF -Hyoerthyroidism 5. SPLINTER HAEMORRHAGE. These are formed by extravasation of blood from longitudinal nail bed blood vessels to adjacent troughs. These are most often related to local, light trauma. Classically associated with -Subacute Bacterial Endocarditis. May be seen in -Leukemia -Vasculitis -Rheumatoid Arthritis -SLE 6. KOILONYCHIA - Spoon Nail is a dystrophic state in which the nail plate thins and a cup like depression. develops. Commonly associated with - Iron deficiency Anemia. 7. CLUBBING - Angle between the normal nail bed and finger is approx 160 degrees and nail bed is firm. This angle is referred to as LOVIBOND'S angle. When clubbing develops, this angle straightens out to be greater than 180 degrees & nail bed becomes spongy and has a bullous shape with exaggerated horizontal and longitudinal curvature. Most commonly associated with -Congenital Cyanotic Heart Disease -Cystic Fibrosis -Mesothelioma of Pleura -Pulmonary Neoplasms -Bronchogenic Carcinoma. 8. PITTING of Nails is seen in Psoriasis. SOURCE. TEXTBOOK OF PHYSICAL DIAGNOSIS. MARK. H. SWARTZ.

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Thank you sir This is one of the best post of this new year.

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Helpful post.

Thank you doctor
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Useful Post

Thank you Dr haider
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Good to reignite some forgotten information... Congrats Dr.Majid Musthafa.

Thank u sir
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Thank you sir This is one of the best post of this new year.

My pleasure dear sourav
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Nice pictural informative post.. Tnx for sharing..

Excellent most useful for medical std

thank u sir
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Really helpful and nice information

Thanks Dr Trivedi
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Useful and informative post.

Thank you doctor
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Very useful post

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Very good post

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