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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.
Abstract:
Terry's nails are a clinical sign of apparent leukonychia, marked by proximal nail whitening and a preserved distal band, commonly linked to systemic diseases such as liver cirrhosis and chronic kidney disease. We report a case of a 26-year-old man with asymptomatic leukonychia of all fingernails and toenails since early childhood. Physical examination revealed features consistent with Terry's nails. A comprehensive systemic evaluation was unremarkable. This case demonstrates that idiopathic Terry's nails, though extremely rare, can occur in otherwise healthy individuals.
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