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Nails and the ElderlyThe elderly are particularly prone to brittle and damaged nails. But older individuals are also subject to a variety of nail changes and disorders that are often secondary to or associated with a medical condition. Common Disorders of Senile Nails Terry's nails: Also called Terry's half and half nails, these are colored white at the near or proximal end and have a normal pink band at the far or distal end. These may be seen in individuals that have cirrhosis of the liver, congestive heart failure, insulin-dependent diabetes mellitus (IDDM) and malnutrition. Half and half nails of Lindsay: Seen in uremic or renal failure patients, the nails have a proximal dull white area with a brownish colored distal area (about 20-60% portion). Contrary to its name, the width of colored bands are not always equal or 'half and half'. |
Muehrcke's paired, narrow white bands: Bands run parallel to the lunula. This is seen in hypoalbuminemia , kidney disorders, malnutrition, an inherited condition called acrodermatitis enteropathica or following chemotherapy.
The lunula: may be decreased or absent altogether Neapolitan nails: present in up to 20% of individuals over 70 years, are characterized by three bands similar to the colors of neapolitan ice-cream (near end: white with absence of lunula; central: normal pink band and far end: opaque free edge)
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