Terry's nails

{{Infobox medical condition (new)

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| image = Terry's nails.jpg

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| caption = Terry's nails

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| specialty = Internal medicine, Dermatology

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| causes = changes in vascularity and connective tissue of nail bed

| risks = Liver failure, cirrhosis, diabetes mellitus, congestive heart failure, hyperthyroidism, or malnutrition

| diagnosis = Physical examination

| differential = Lindsay's nails

| prevention =

| treatment = Directed at underlying condition

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Terry's nails is a physical condition in which a person's fingernails or toenailsFreedberg, et al. (2003). Fitzpatrick's Dermatology in General Medicine. (6th ed.). McGraw-Hill. {{ISBN|0-07-138076-0}}.{{rp|659}} appear white with a characteristic "ground glass" appearance without any lunula.{{cite journal |url=http://www.aafp.org/afp/20040315/1417.html |title=Nail Abnormalities: Clues to Systemic Disease - March 15, 2004 |journal=American Family Physician |volume=69 |issue=6 |pages=1417–1424 |date=2004-03-15 |last1=Stulberg |first1=Daniel L. |last2=Linford |first2=Sean |last3=Fawcett |first3=Robert S. }} The condition is thought to be due to a decrease in vascularity and an increase in connective tissue within the nail bed;{{cite book |author=Rapini, Ronald P. |author2=Bolognia, Jean L. |author3=Jorizzo, Joseph L. |title=Dermatology: 2-Volume Set |publisher=Mosby |location=St. Louis |year=2007 |pages=1029 |isbn=978-1-4160-2999-1 }} the darker shade of the distal portion of the nail fades upon pressure, which differentiates Terry's nails from Lindsay's nails. It frequently occurs in the setting of liver failure, cirrhosis, diabetes mellitus, congestive heart failure, hyperthyroidism, or malnutrition. Eighty percent of patients with severe liver disease have Terry's nails, but they are also found in people with kidney failure, in patients with congestive heart failure{{cite journal |last1=Nia |first1=AM |last2=Ederer |first2=S |last3=Dahlem |first3=KM |last4=Gassanov |first4=N |last5=Er |first5=F |title=Terry's nails: a window to systemic diseases. |journal=The American Journal of Medicine |date=July 2011 |volume=124 |issue=7 |pages=602–4 |doi=10.1016/j.amjmed.2010.11.033 |pmid=21683827|doi-access=free }} and are described as a brown arc near the ends of the nails.Examination Medicine. Nicolas J Tally. MacLennan and Petty Pty Ltd. 2003 The recognition of characteristic nail patterns, such as Terry's nails, may be a helpful herald for early diagnosis of systemic diseases. This finding was named for Richard Terry.{{cite journal |last1=Terry |first1=Richard |title=White nails in hepatic cirrhosis. |journal=Lancet |date=10 April 1954 |volume=266 |issue=6815 |pages=757–9 |doi=10.1016/s0140-6736(54)92717-8 |pmid=13153107}}