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Terry's Nails Without Systemic Disease: A Case Report of a Unique Clinical Sign
Abdulrahman Saleh Aldairi1, Faris Alsaedi1, Deema Hani Beheiry2
1Department of Dermatology, King Faisal Hospital, Ministry of Health, Makkah, SAU.
Cureus
|August 20, 2025
Summary
Terry's nails, characterized by nail whitening, are often linked to systemic diseases. This case highlights an extremely rare instance of idiopathic Terry's nails in an otherwise healthy individual.
Area of Science:
- Dermatology
- Internal Medicine
- Clinical Sign Manifestation
Background:
- Terry's nails present as apparent leukonychia with proximal nail whitening and a distal band.
- This nail condition is frequently associated with systemic diseases like liver cirrhosis and chronic kidney disease.
Observation:
- A case report details a 26-year-old male with lifelong, asymptomatic leukonychia affecting all fingernails and toenails.
- Physical examination confirmed the presence of Terry's nail morphology.
Findings:
- Comprehensive systemic evaluations for the patient yielded unremarkable results.
- This suggests a potential diagnosis of idiopathic Terry's nails.
Implications:
- Idiopathic Terry's nails, while exceptionally rare, can manifest in individuals without underlying systemic pathology.
- This case expands the differential diagnosis for leukonychia and emphasizes the importance of thorough, yet judicious, systemic evaluation.
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