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Review

Evaluation of nail lines: Color and shape hold clues

Shari R. Lipner, MD, PhD and Richard K. Scher, MD, FACP
Cleveland Clinic Journal of Medicine May 2016, 83 (5) 385-391; DOI: https://doi.org/10.3949/ccjm.83a.14187
Shari R. Lipner
Assistant Professor of Dermatology, Weill Cornell Medical College, New York, NY
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  • For correspondence: [email protected]
Richard K. Scher
Clinical Professor of Dermatology, Weill Cornell Medical College, New York, NY
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ABSTRACT

Nail lines are a common presenting finding. A thorough inspection of the fingernails and toenails is an integral part of the complete physical examination. An understanding of basic nail anatomy and familiarity with several basic types of nail line enable the clinician to diagnose and treat nail disorders and to recognize underlying systemic diseases, as each type of nail line has a particular differential diagnosis. The authors review leukonychia striata (white lines), longitudinal melanonychia (brown-black lines), longitudinal erythronychia (red lines), and nail-plate grooves (Beau lines).

  • Copyright © 2016 The Cleveland Clinic Foundation. All Rights Reserved.
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  1. Shari R. Lipner, MD, PhD⇑
  1. Assistant Professor of Dermatology, Weill Cornell Medical College, New York, NY
  1. ADDRESS:
    Shari Lipner, MD, PhD, Department of Dermatology, Weill Cornell Medical College, 1305 York Avenue, 9th Floor, New York, NY 10021; shl9032{at}med.cornell.edu
  1. Richard K. Scher, MD, FACP
  1. Clinical Professor of Dermatology, Weill Cornell Medical College, New York, NY

ABSTRACT

Nail lines are a common presenting finding. A thorough inspection of the fingernails and toenails is an integral part of the complete physical examination. An understanding of basic nail anatomy and familiarity with several basic types of nail line enable the clinician to diagnose and treat nail disorders and to recognize underlying systemic diseases, as each type of nail line has a particular differential diagnosis. The authors review leukonychia striata (white lines), longitudinal melanonychia (brown-black lines), longitudinal erythronychia (red lines), and nail-plate grooves (Beau lines).

  • Copyright © 2016 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine: 83 (5)
Cleveland Clinic Journal of Medicine
Vol. 83, Issue 5
1 May 2016
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Evaluation of nail lines: Color and shape hold clues
Shari R. Lipner, Richard K. Scher
Cleveland Clinic Journal of Medicine May 2016, 83 (5) 385-391; DOI: 10.3949/ccjm.83a.14187

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Evaluation of nail lines: Color and shape hold clues
Shari R. Lipner, Richard K. Scher
Cleveland Clinic Journal of Medicine May 2016, 83 (5) 385-391; DOI: 10.3949/ccjm.83a.14187
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Jump to section

  • Article
    • ABSTRACT
    • BASIC NAIL ANATOMY
    • NAIL EXAMINATION ESSENTIALS
    • LEUKONYCHIA STRIATA: WHITE NAIL LINES
    • LONGITUDINAL MELANONYCHIA: VERTICAL BROWN-BLACK NAIL LINES
    • LONGITUDINAL ERYTHRONYCHIA: VERTICAL RED NAIL LINES
    • BEAU LINES
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