terry's nails

Last reviewed 01/2018

  • 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)