Toe nail appears with white lines

My patient came to clinic with LBP..which I could manage with physiotherapy. However he is more worried about his nail changes with white lines.. Kindly give your comments regarding this..

(Edited)

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LEUCONYCHIA BEAU'S STRAIE ONLYCHOMYCOSIS PROTEIN & IRON DEGICIENCY

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Beau's straei Check LFTS Vit D deficiency Nutritional supplements Multivitamin suppliments Calcium supplements

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? MUEHRCKE'S LINES .. ? LEUKONYCHIA .. ? LOW PROTEIN INDUCED LINES .. ? ONYCHOMYCOSIS .. WITH .. ASSOCIATED NAIL CHANGES ..

Tnxs Dr shivraj Agarwal Sir
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Oncomycosis treat with Tab Terbinafine 500 one daily lotion Luliconazole apply locally twice daily

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Parallel white lines that extend all the way across the nails, known as Muehrcke's lines, are a sign of low levels of protein in the blood. Advice Blood Investigation , CBC , SGPT , SGOT , BILIRUBIN , SR IRON , VIT B12 URINE MICROALBUMIN URINE RM

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Koilonychai Iron deficiency Ferrous ascorbate100 mg od4 month

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Koilonychai Iron deficiency Ferrous ascorbate100 mg od4 month

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