Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content ++ See Table L-2. ++Table Graphic Jump LocationTable L-2 Leukonychia and Other Nail DiscolorationView Table||Download (.pdf)Table L-2 Leukonychia and Other Nail DiscolorationNail Discoloration (Name)Clinical Aspect and CausesLeukonychia Totalis (partial or totalis white nails) Congenital (leukonychia totalis): autosomal dominant syndromeTerry nails (either all or only proximal 80% of nail bed is white): liver disease (cirrhosis)Half-and-half nails (pink proximally, white distally): renal failure, uremiaLeukonychia punctata (white spots) Minor trauma to nail cuticle or matrixTransverse striate leukonychia (white lines) Muehrcke lines (transverse white lines): hypoalbuminemiaMees lines (transverse white lines): heavy metal poisoning (arsenic), renal failureGreen nailsPseudomonas pyocyanea infection (candidiasis)Blue and brown nailsMedication side effect (quinacrine, chloroquine, minocycline [blue nails], doxorubicin, melphalan, bleomycin, daunorubicin)Wilson diseaseOchronosisPsoriasisAlopecia areataConsider staining (nicotine, potassium permanganate, varnish)Black nails (melanonychia) Medication side effects (cyclophosphamide)Melanonychia striata: common in dark-skinned persons; idiopathic or secondary to trauma or chemotherapyNevus (uniform brown longitudinal streak localized to nail)Melanoma (longitudinal brown-black streak that may encompass entire nail)HematomaYellow Nail SyndromeLymphedemaAIDSBacterial infectionFungal infection (onychomycosis)PsoriasisAlopecia aerataCardiopulmonary diseasesRed nails (including red and white streaks) Darier diseaseGlomus tumor Your Access profile is currently affiliated with '[InstitutionA]' and is in the process of switching affiliations to '[InstitutionB]'. Please click ‘Continue’ to continue the affiliation switch, otherwise click ‘Cancel’ to cancel signing in. Get Free Access Through Your Institution Learn how to see if your library subscribes to McGraw Hill Medical products. Subscribe: Institutional or Individual Sign In Username Error: Please enter User Name Password Error: Please enter Password Forgot Password? Forgot Username? Sign in via OpenAthens Sign in via Shibboleth