Nail change NF NC p-value Longitudinal ridging 10 20 0.047 Beau's lines 3 8 0.215 Longitudinal melanonychia 3 6 0.495 Onycholysis, focal 2 2 1.000 Pitting 3 0 0.246 Pigmentation, focal 3 5 0.721 Complete pigmentation of nail plate 0 4 0.121 Clubbing 0 1 1.000 Thickening of nail plate 2 6 0.279 Dystrophic nails 2 10 0.037 Traumatic nails 3 8 0.215 Punctuate leuconychia
2 14 0.004 Paronychia 3 8 0.215 Median canalicular dystrophy of Heller 0 6 0.038 Petechial hemorrhage 0 8 0.012 NF = number of patients in family ward, NC = number of patients in closed ward, LSC = lichen simplex chronicus, KP = keratosis pilaris.
In pseudo (apparent) leuconychia
, there is involvement of subungual tissue due to onycholysis or subungual hyperkeratosis or pathology of matrix or nailbed instead of nailplate2.
Chronic Liver Disease can give rise to numerous extrahepatic disorders among which skin disease occupy a central place Jaundice, xerosis, pruritis, pigmentary changes, loss of pubic and axillary hairs, leuconychia
, spider naevi, telangiectasias, striae distensae with dilated veins on abdomen, palmar erythema all are recognized sequelae of liver disease (12, 14).
Superficial white onychomycosis is characterized by direct invasion of the nail plate surface, causing leuconychia
and crumbling of the plate (Figure 4).
Other cutaneous features which were less frequent findings included palmar erythema, clubbing, leuconychia
, spider naevi, alopecia areata, prurigo nodularis, porphyria cutanea tarda, erythema nodosum, sjorgens syndrome, vitiligo and cryoglobulinemia.
(White Spots) -- regular manicures in conjunction with a good hardening treatment.
WHITE flecks (leuconychia
): It's an old wives' tale that these indicate lack of calcium.
was seen in 2 (1.3%) patients while pitting and clubbing were seen in one (0.6%) patient each.
In Nail changes, onychomycosis were most common, rest were melanonychia, bluish discoloration, koilonychia, leuconychia
seen with CD4 count < 200.