Terry's nail; Lindsey's nails (1/2 & 1/2 nails)
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Etiology
- hypoalbuminemia associated with hepatic cirrhosis (Terry's nails)
- uremia secondary to chronic renal failure (Lindsey's nails)[3]
Pathology
- Lindsey's nails: whiteness is due to edema & anemia[7]
- Terry's nails are caused by reduced vascular supply to nailbed[7]
Clinical manifestations
- the proximal 2/3 of the nail is white which may obliterate the lunula
- the distal 1/3 of the nail is the normal red color of the nail bed
- no correlation between the degree of azotemia & the % of nail bed that is white[3]
Management
- no specific therapy beyond treatment of the underlying etiology
More general terms
Additional terms
References
- ↑ Color Atlas & Synopsis of Clinical Dermatology, Common & Serious Diseases, 3rd ed, Fitzpatrick et al, McGraw Hill, NY, 1997, pg 497
- ↑ Mayo Internal Medicine Board Review, 1998-99, Prakash UBS (ed) Lippincott-Raven, Philadelphia, 1998, pg 179
- ↑ 3.0 3.1 3.2 Yang CS, Robinson-Bostom L Lindsay's Nails in Chronic Kidney Disease. N Engl J Med 2015; 372:1748. April 30, 2015 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/25923554 <Internet> http://www.nejm.org/doi/full/10.1056/NEJMicm1406572
- ↑ 4.0 4.1 Medical Knowledge Self Assessment Program (MKSAP) 17, 18. American College of Physicians, Philadelphia 2015, 2018.
- ↑ 5.0 5.1 Wikipedia: Terry's nails (image) https://en.wikipedia.org/wiki/Terry's_nails
Wikipedia: Half and half nails https://en.wikipedia.org/wiki/Half_and_half_nails - ↑ 6.0 6.1 Family Practice Notebook. Terry's Nail (images) http://www.fpnotebook.com/derm/Nails/TrysNl.htm
- ↑ 7.0 7.1 7.2 7.3 Brady MP Fingernail and Toenail Abnormalities: Nail the Diagnosis. Medscape March 17, 2021 https://reference.medscape.com/slideshow/fingernail-abnormalities-6002456