Aug 27 – Image Challenge

Question: What is this fingernail finding called? Patients with this finding likely have what underlying medical condition?

Answer: Patients with cirrhosis may have a finding known as Terry nails. In patients with Terry nails, the proximal two-thirds of the nail plate appears white, whereas the distal one-third is red. This finding is believed to be secondary to a low serum albumin. Terry nails may also be seen in patients with renal failure, diabetes, and heart failure.

Reference: https://www.uptodate.com/contents/overview-of-nail-disorders?search=splinter%20hemorrhages&source=search_result&selectedTitle=1~48&usage_type=default&display_rank=1#H2117709753

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