Terry's nails

Terry's nails is a physical condition in which a person's fingernails or toenails[1]:659 appear white with a characteristic "ground glass" appearance without any lunula.[2] The condition is thought to be due to a decrease in vascularity and an increase in connective tissue within the nail bed.[3] It frequently occurs in the setting of liver failure, cirrhosis, diabetes mellitus, congestive heart failure, hyperthyroidism, or malnutrition. Eighty percent of patients with severe liver disease have Terry's nails, but they are also found in patients with kidney failure, in patients with congestive heart failure[4] and are described as a brown arc near the ends of the nails.[5] The recognition of characteristic nail patterns, such as Terry’s nails, may be a helpful herald for early diagnosis of systemic diseases.[6]

Terry's nails
Other namesleukonychia
Terry's nails

This was named for Dr. Richard Terry.[7]

See also


  1. Freedberg, et al. (2003). Fitzpatrick's Dermatology in General Medicine. (6th ed.). McGraw-Hill. ISBN 0-07-138076-0.
  2. Stulberg, Daniel L.; Linford, Sean; Fawcett, Robert S. (2004-03-15). "Nail Abnormalities: Clues to Systemic Disease - March 15, 2004 - American Family Physician". American Family Physician. 69 (6): 1417–1424.
  3. Rapini, Ronald P.; Bolognia, Jean L.; Jorizzo, Joseph L. (2007). Dermatology: 2-Volume Set. St. Louis: Mosby. p. 1029. ISBN 978-1-4160-2999-1.
  4. Nia et al. in Am J Med. 2011 Jul;124(7):602-4.
  5. Examination Medicine. Nicolas J Tally. MacLennan and Petty Pty Ltd. 2003
  6. Nia et al. Am J Med. 2011 Jul;124(7):602-4. www.cardiovascular-research.org
  7. "White nails in hepatic cirrhosis." Lancet. 1954;1:756–9.

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