White Nails

A 16 year old female came with complaints of white nails of both hands for the past 3 month. Toe nails are normal. Advised to do routine blood investigations.

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? ONYCHAUXIS .. WITH .. LEUKONYCHIA .. AND .. HYPERPIGMENTATION OF KNUCKLES .. CAUSES .. ANEMIA .. DEFFICIENCIES OF .. IRON .. VITAMINS.. MINERALS ..

Thank you doctor
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16/F..case of white nails. -Alteration of nail plate colour. -whitish discolouration of nails callesd as :Leukonychia. -needed to examine whether lunula obliteration there or any pressure apply colour changes. -whole part or half part nail involvement. -observe nail folds.edges..nail bed. -type:true..apparent..pseudo -since at only hand and not seen in leg..isnt anaemia cause. -cause: -look for detailed occupation history -any chemical agent in contact -systemic disease -HIV status -fungal -investigation:Dermoscopy

Thanks for ur appreciation Dr Partha Sahana sir..
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? Leukonychia totalis

Great sir.. was bit confused in this term to say or not since leg nails were normal. Terrys nails looks less likely seems. yess at the end agrees with ur reply.
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R/O . Anemia . Iron deficiency . Vitamins and minerals deficiency . White nails . Leukonychia.

Leukonychia Due defeciency of iron

These are d/t nutritional deficiencies

LeukOnychia ? Adv:- CBC Iron profile Rx Ascorbate Iron Oral Multivitamins