Seborrheic Dermatitis Nails

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Onycholysis

Beau's lines

Mee's or Meuhrcke's lines

Onycholysis

Beaus Lines And Meuhrckes Lines

Longitudinal band Pitting

Nail Findings and Associated Systemic Conditions

Nail Finding

Associated Systemic Condition

Shape or Growth Change

Beau's lines

Any severe systemic illness that disrupts nail growth, pemphigus, Raynaud's disease, trauma

Clubbing

Asbestosis, atrioventricular malformations, chronic bronchitis, cirrhosis, congenital heart disease, COPD, endocarditis, fistulas, inflammatory bowel disease, pulmonary malignancy

Koilonychia

Hemochromatosis, iron deficiency anemia, nail-patella syndrome, Raynaud's disease, SLE, trauma

Onycholysis

Amyloidosis, connective tissue disorders, hyperthyroidism, infection, psoriasis, sarcoidosis, trauma

Pitting

Alopecia areata, incontinentia pigmenti, psoriasis, Reiter's syndrome

Yellow nail

Bronchiectasis, immunodeficiency, lymphedema, nephrotic syndrome, pleural effusion, Raynaud's disease, rheumatoid arthritis, sinusitis, thyroiditis, tuberculosis

Color Change

Azure lunula

Hepatolenticular degeneration (Wilson's disease), quinacrine therapy, silver poisoning

Dark longitudinal streaks

Benign nevus, chemical staining, melanoma, normal variant in darkly pigmented people

Half-and-half nails

Specific for renal failure

Longitudinal striations

Alopecia areata, atopic dermatitis, vitiligo, psoriasis

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Nail Findings and Associated Systemic Conditions (Continued)

Nail Finding

Associated Systemic Condition

Mees' lines

Arsenic poisoning, carbon monoxide poisoning, chemotherapy, CHF, Hodgkin's disease, leprosy, malaria, other systemic insults

Muehrcke's lines

Specific for hypoalbuminemia

Splinter hemorrhage

Antiphospholipid syndrome, malignancies, oral contraceptive use, pregnancy, psoriasis, rheumatoid arthritis, SLE, subacute bacterial endocarditis, trauma

Telangiectasia

Dermatomyositis, rheumatoid arthritis, scleroderma, SLE

Terry's (white) nails

Cirrhosis, CHF, diabetes mellitus, hepatic failure, hyperthyroidism, malnutrition

Skin Disorders With Nail Changes

Disease

Incidence

Findings

Alopecia areata

10%

Fine pits, rough nail surface

Darier's disease

High

Longitudinal ridging, red & white longitudinal bands, V-neck, hyperkeratosis

Eczema

Common

Coarse pitting, shiny nails, transverse ridging

Lichen planus

10%

Coarse pitting, shiny nails, transverse ridging

Pityriasis rubra pilaris

Majority

Hyperkeratotic, yellow-brown

Psoriasis

10%-50%

"Oil spots," onycholysis, pits, splinter hemorrhages, subungual hyperkeratosis

Scleroderma

Frequent

Pterygium inversus unguium

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Responses

  • maurizio
    Can i get artificial nails if I have seborrheic dermatitis?
    2 years ago
  • chris morrison
    How to treat fingernail dermatitis from a nail salon?
    4 months ago

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