Terry’s Nails and Lindsay’s Nails: Two Nail Abnormalities in Chronic Systemic Diseases
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KEY WORDSTerry’s nails Lindsay’s nails chronic kidney disease cirrhosis
A clinical differentiation between Lindsay’s nail (half-and-half nail) and Terry’s nail is difficult. In Lindsay’s nail, the proximal part of the nail is white, while the distal portion occupying 20 % to 60 % of nail bed is reddish-brown and does not fade with pressure.1,2 The cause of Lindsay’s nail is unclear, but the distal reddish-brown band might be the result of an increased concentration of β-melanocyte–stimulating hormone.2 This condition can be found in up to 40 % of patients of chronic kidney disease.1 On the other hand, Terry’s nail is defined as a 0.5–3.0 mm brown to pink distal band with proximal nail bed whiteness occupying approximately 80 % of nail bed.3 This condition is frequently associated with cirrhosis, chronic congestive heart failure, and adult-onset diabetes mellitus.3
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- 2.Dermatological Manifestations of Kidney Disease. Place of Publication Not Identified: Springer, 2015. Print.Google Scholar