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Clinical—A 35-year-old male presented with complaints of fever, cough with mucoid expectoration and progressive shortness of breath of 1 week duration.A diagnosis of severe community-acquired pneumonia with acute respiratory distress syndrome was made, and the patient was shifted to intensive care unit for mechanical ventilation.The patient gradually responded to antibiotics and supportive management, and was discharged after 10 days of hospitalisation.Three weeks later, the patient came to the outpatient clinic and was completely asymptomatic. However, examination of the fingernails revealed transverse depressed grooves towards the proximal part in all of them (Figure 1). Figure 1 What are the lines called and what is their aetiology? Answer

Summary

Abstract

Aim

Method

Results

Conclusion

Author Information

Sonali Kaushal, Senior Resident, Department of Anaesthesia, Government Medical College and Hospital; Chandigarh, India; Vivek Kumar, Assistant Professor, Department of Nephrology, Postgraduate Institute of Medical Education and Research, Chandigarh, India; Vishal Sharma, Senior Resident, Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India

Acknowledgements

Correspondence

Vishal Sharma, 1819 Gobind Nagar, Subhash Road, Chheharta, Amritsar, India.

Correspondence Email

docvishalsharma@gmail.com

Competing Interests

Fawcett RS, Linford S, Stulberg DL. Nail abnormalities: clues to systemic disease. Am Fam Physician 2004;69:1417-24.Hinds G, Thomas VD. Malignancy and Cancer Treatment-Related Hair and Nail Changes. Dermatologic clinics 2008;26:59-68.

For the PDF of this article,
contact nzmj@nzma.org.nz

View Article PDF

Clinical—A 35-year-old male presented with complaints of fever, cough with mucoid expectoration and progressive shortness of breath of 1 week duration.A diagnosis of severe community-acquired pneumonia with acute respiratory distress syndrome was made, and the patient was shifted to intensive care unit for mechanical ventilation.The patient gradually responded to antibiotics and supportive management, and was discharged after 10 days of hospitalisation.Three weeks later, the patient came to the outpatient clinic and was completely asymptomatic. However, examination of the fingernails revealed transverse depressed grooves towards the proximal part in all of them (Figure 1). Figure 1 What are the lines called and what is their aetiology? Answer

Summary

Abstract

Aim

Method

Results

Conclusion

Author Information

Sonali Kaushal, Senior Resident, Department of Anaesthesia, Government Medical College and Hospital; Chandigarh, India; Vivek Kumar, Assistant Professor, Department of Nephrology, Postgraduate Institute of Medical Education and Research, Chandigarh, India; Vishal Sharma, Senior Resident, Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India

Acknowledgements

Correspondence

Vishal Sharma, 1819 Gobind Nagar, Subhash Road, Chheharta, Amritsar, India.

Correspondence Email

docvishalsharma@gmail.com

Competing Interests

Fawcett RS, Linford S, Stulberg DL. Nail abnormalities: clues to systemic disease. Am Fam Physician 2004;69:1417-24.Hinds G, Thomas VD. Malignancy and Cancer Treatment-Related Hair and Nail Changes. Dermatologic clinics 2008;26:59-68.

For the PDF of this article,
contact nzmj@nzma.org.nz

View Article PDF

Clinical—A 35-year-old male presented with complaints of fever, cough with mucoid expectoration and progressive shortness of breath of 1 week duration.A diagnosis of severe community-acquired pneumonia with acute respiratory distress syndrome was made, and the patient was shifted to intensive care unit for mechanical ventilation.The patient gradually responded to antibiotics and supportive management, and was discharged after 10 days of hospitalisation.Three weeks later, the patient came to the outpatient clinic and was completely asymptomatic. However, examination of the fingernails revealed transverse depressed grooves towards the proximal part in all of them (Figure 1). Figure 1 What are the lines called and what is their aetiology? Answer

Summary

Abstract

Aim

Method

Results

Conclusion

Author Information

Sonali Kaushal, Senior Resident, Department of Anaesthesia, Government Medical College and Hospital; Chandigarh, India; Vivek Kumar, Assistant Professor, Department of Nephrology, Postgraduate Institute of Medical Education and Research, Chandigarh, India; Vishal Sharma, Senior Resident, Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India

Acknowledgements

Correspondence

Vishal Sharma, 1819 Gobind Nagar, Subhash Road, Chheharta, Amritsar, India.

Correspondence Email

docvishalsharma@gmail.com

Competing Interests

Fawcett RS, Linford S, Stulberg DL. Nail abnormalities: clues to systemic disease. Am Fam Physician 2004;69:1417-24.Hinds G, Thomas VD. Malignancy and Cancer Treatment-Related Hair and Nail Changes. Dermatologic clinics 2008;26:59-68.

Contact diana@nzma.org.nz
for the PDF of this article

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