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[A young man with discoloured nails].

H J Schers1, M M Kleinpenning

  • 1Academisch Gezondheidscentrum Thermion, Lent.

Nederlands Tijdschrift Voor Geneeskunde
|July 21, 2016
PubMed
Summary

Lindsay's nails, a nail discoloration pattern, can indicate underlying health issues like kidney failure. This case highlights a young man with this nail finding but no apparent medical conditions, emphasizing the need for careful diagnosis.

Area of Science:

  • Dermatology
  • Nephrology
  • Internal Medicine

Background:

  • Nail abnormalities can be indicators of systemic diseases.
  • Lindsay's nails (half and half nails) are a specific nail finding with potential associations to renal and thyroid conditions.
  • Differential diagnosis of nail changes is crucial in clinical practice.

Observation:

  • A 23-year-old male presented with discolored nails.
  • The patient's nails exhibited the characteristic 'half and half' or Lindsay's nail pattern.
  • This presentation prompted evaluation for underlying systemic illness.

Findings:

  • Blood tests were conducted to investigate potential causes for the nail changes.
  • No underlying renal failure or thyroid disease was detected in the patient.

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  • The patient's discolored nails were not attributable to common conditions like Terry's nails, psoriatic nails, or onychomycosis.

    • Implications:

    • This case underscores that Lindsay's nails can occur in the absence of identifiable systemic disease.
    • It highlights the importance of considering a broad differential diagnosis for nail abnormalities.
    • Further monitoring may be warranted in cases of idiopathic Lindsay's nails.