Terry's nails have a distinct white discoloration of the nail bed proximally to the distal 1-2 mm of the distal edge - this leaves an exaggerated pink-brown discoloration to the free edge of the nail (1)
the nail loses its colour pattern if there is an application of pressure
generally all nails are uniformly affected with a ground glass look (2)
conditions where Terry's nails have been reported include:
cirrhosis of the liver - usually 80% of cirrhosis patients presents with Terrry’s nails
chronic congestive heart failure
adult-onset diabetes mellitus
HIV patients
in haemodialysis and renal transplant patients - rarely (2)
Reference:
(1) Zaiac MN, Daniel CR. Nails in systemic disease Dermatologic Therapy 2002;15 (2); 99?106.
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