Everyone can benefit from a good facial cleanser, and many products are specially formulated for dry, sensitive skin. Blue lips are most often caused when something is preventing you from getting enough oxygen into your body. Read on to discover some of the causes of…. Congested skin refers to skin that becomes bumpy, irritated, and acne-prone. Learn what causes it and how to treat it. Health Conditions Discover Plan Connect. Medically reviewed by Deborah Weatherspoon, Ph. About Causes Treatment Vs.
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This content does not have an English version. This content does not have an Arabic version. See more conditions. A classic presentation of Terry's nails demonstrating ground glass opacification of nearly the entire nail with A — No visible lunula and B — A narrow band of normal, pink nail bed at the distal border. Although both Terry's nails and half-and-half nails can be seen in patients with chronic renal disease and are characterized by ground glass opacities, half-and-half nails are distinct in that only about half of the proximal nail bed is opacified.
Although the pathophysiology of this condition remains undetermined, a change in nail bed vascularity, secondary to overgrowth of connective tissue, is thought to be responsible.
Terry's nails are characterized by ground glass opacification of nearly the entire nail, obliteration of the lunula, and a narrow band of normal, pink nail bed at the distal border. Although the abnormality can occur with normal aging, Terry's nails can also be an indication of an underlying medical condition, most notably, cirrhosis, chronic renal failure, and congestive heart failure.
This finding highlights the association between nail changes and systemic disease as well as the importance of thorough nail inspection with every physical examination. Terry's nails may also reflect chronic renal disease, congestive heart failure, and other disorders. National Center for Biotechnology Information , U. Journal List Indian J Dermatol v. Indian J Dermatol. Author information Article notes Copyright and License information Disclaimer. Address for correspondence: Prof. E-mail: ude.
Received Feb; Accepted Feb. This article has been cited by other articles in PMC. Abstract Terry's nails are a type of apparent leukonychia, characterized by ground glass opacification of nearly the entire nail, obliteration of the lunula, and a narrow band of normal, pink nail bed at the distal border.
Keywords: Chronic renal failure , cirrhosis , congestive heart failure , leukonychia , nails. What was known? Introduction Nail changes can serve as an important clinical sign for underlying systemic disease. Clinical Features As described by Terry,[ 1 ] this abnormality is evident as a bilaterally symmetrical whitening of the fingernails that involves nearly the entire nail bed, sparing only a narrow segment at the distal border [ Figure 1 ].
Open in a separate window. Figure 1. Fully developed white nails exhibit a ground-glass- like opacity of almost the entire nail bed. It extends from the base of the nail, where the lunula is indistinguishable, to within one or two millimetres of the distal border of the nail bed, leaving a distal zone of normal pink.
The condition is bilaterally symmetrical, with a tendency to be more marked in the thumb and forefinger. The pathophysiology remains underdetermined but currently thought to be due to changes in nail bed vascularity secondary to overgrowth of connective tissue. Nail bed tissue biopsy confirm microvascular involvement showing telangiectasias in the upper dermis of the distal band.
These nails are common in cirrhosis of the liver and may fairly be added to the list of non-specific physical signs thereof. Their diagnostic value in cirrhosis is limited, since they occur in other conditions, but they are occasionally most helpful in suggesting or corroborating the diagnosis. This site uses Akismet to reduce spam. Learn how your comment data is processed. Kathryn Scott.
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