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 Nail changes in medical disorders 
  
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     Contributed by: 
    Dr.K.B.RAVVA  M.B.B.S.
     
      022-24015460  
      drkbravva@rediffmail.com  
      drkbravva@hotmail.com  
      drkbravva@yahoo.co.in  | 
   
 
Yellow nail syndrome   
 
Yellow or green discoloration in your fingernails may result from a respiratory 
condition, such as chronic bronchitis, or from swelling of your hands (lymphedema). 
In yellow nail syndrome, nails thicken and new growth slows. Nails affected with 
this condition may lack a cuticle and may detach from the nail bed in places. 
 
The discoloration occurs because of the slow growth of your nails. Although this 
condition is often a sign of respiratory disease, it's possible to have yellow 
or green nails and not have a respiratory condition. Yellow or green nails may 
also result from any condition that causes the growth of your nails to slow 
down. 
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Pitting   
 
Small depressions in the nails are common in people with psoriasis — a skin 
condition that produces scaly patches — or nail injuries. Pitting may cause your 
nails to crumble.  
 
Pitting is also associated with conditions that can damage your nail's cuticle, 
such as chronic dermatitis of your fingers or alopecia areata. 
 
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Clubbing   
 
Clubbing occurs when the tips of your fingers enlarge and your nails curve 
around your fingertips.  
This condition results from low oxygen levels in your blood and could be a sign 
of lung disease.  
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Spoon nails
  
 
Spoon nails (koilonychia) are soft nails that look scooped out.  
The depression usually is large enough to hold a drop of liquid. Spoon nails may 
be a sign of iron deficiency anemia 
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Terry's nails   
 
With the condition known as Terry's nails, your nails look opaque, but the tip 
has a dark band. 
Sometimes this can be attributed to aging. In other cases, it can be a sign of 
serious illness, such as:  
 
Cancer  
Congestive heart failure  
Diabetes  
Liver disease 
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Beau's lines   
 
Beau's lines are indentations that run across your nails. 
They can appear when growth at the area under your cuticle is interrupted by 
injury or severe illness, such as a heart attack. Beau's lines may also be a 
sign of malnutrition 
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Nail separates from nail bed
  
 
With a condition known as onycholysis, your fingernails become loose and can 
separate from the nail bed. If your nails show signs of detaching, this may be 
associated with: 
 
Injury  
Thyroid disease  
Fungal disease  
Drug reactions  
Reactions to nail hardeners or acrylic nails  
Psoriasis  
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Thickened toenails: What causes them?  
 
Your toenails can thicken for many reasons. These include an injury, skin 
conditions such as psoriasis, tight or poorly fitting shoes, and fungal 
infections — as shown in this picture. 
 
Among these, a fungal nail infection — onychomycosis (on-i ko-mi-KO-sis) 
— is the most common cause of thickened toenails. 
  
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