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Terry's nails is a physical finding in which fingernails and/or toenails[1]:659 appear white with a characteristic "ground glass" appearance, with no 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, and/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]
This was named for Dr. Richard Terry, White nails in hepatic cirrhosis. Lancet. 1954;1:756–9.
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