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Terry’s nails, tracking an underneath disease
  1. Luís Flores,
  2. Helena Moreira,
  3. Maria João Pinto,
  4. Carla Andrade,
  5. Fernando Friões
  1. Internal Medicine Department, Centro Hospitalar Universitário de São João, Porto, Portugal
  1. Correspondence to Dr Luís Flores, Internal Medicine Department, Centro Hospitalar Universitário de São João, Porto 4200-319, Portugal; luisqfs{at}

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Nail abnormalities can be a valuable diagnostic clue and should be part of any detailed physical examination.

An 89-year-old man with heart failure, chronic liver disease and type 2 diabetes mellitus was admitted for acute decompensated heart failure. At physical examination, whitening of all the fingernails, with disappearance of lunula, leaving just a 2 mm pink band at the tip of the …

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  • Contributors LF planned the manuscript. LF, MJP, HM, CA and FF wrote draft, reviewed literature and approved the final version. LF and CA treated the patient.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.