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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
Acknowledgements
Correspondence
Correspondence Email
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.
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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
Acknowledgements
Correspondence
Correspondence Email
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
Acknowledgements
Correspondence
Correspondence Email
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
Medical image. Fingernail lines
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