Very pale nails
Healthy nails are generally pink. Very pale nails may indicate illnesses, such as anemia, congestive heart failure or liver disease.
Blue nails may indicate that the blood is not carrying enough oxygen to the fingertips. There are many possible causes, including heart and lung diseases. Anyone with blue nails should seek medical advice. In some cases, fingernails turn blue or purplish because of cyanosis, which can also affect the lips and skin.
A white nail could signal cirrhosis, chronic renal failure or congestive heart failure. Lunula that have a blueish tint could suggest Wilson's disease, a rare inherited genetic disorder in which copper accumulates in the liver, brain and other organs. Red lunula may indicate heart failure, research shows.
Split, cracked, or brittle nails may be due to thyroid disease, psoriasis, frequent hand washing, or medications. When this symptom is accompanied by yellowness it can also indicate a fungal infection. Healthy nails should be smooth and have a consistent color.
Nail changes.
People who have advanced kidney disease can develop: A white color on the upper part of one or more nails and a normal to reddish brown color below, as shown here (half-and-half nails) Pale nails. White bands running across one or more nails (Muehrcke's nails)
Terry's nails is a type of nail discoloration. The nailbeds look “washed out,” except for a thin reddish-brown strip near the tip. Often, Terry's nails is a symptom of a chronic condition, such as liver failure or diabetes.
The skin and nails of patients with diabetes tend to take on a yellow hue, probably due to metabolism of glucose which has become linked to protein. This hue is most evident in the nails, especially distally, but occasionally evident in the skin.
When the extra cholesterol narrows or blocks your arteries, it limits the blood flow to various parts of your body, including your nails. This can leave your nails with dark lines underneath them. These are thin, red to reddish-brown lines under your nails, as per MedlinePlus.
Blue or purple nail beds or nails are a common sign of cyanosis, which is caused by a lack of oxygen in the blood. This type of discoloration can also occur on other parts of the body including the hands, fingertips, toes, nose, lips, and tongue.
Tiny red lines under the toenail can be a sign of a heart infection. Red lines under the toenail could be broken blood vessels known as splinter hemorrhages. These occur when small blood clots damage the tiny capillaries under the nails. They can signal endocarditis, an infection of the heart's inner lining.
Heart failure symptoms may include: Shortness of breath with activity or when lying down. Fatigue and weakness. Swelling in the legs, ankles and feet.
Blue or gray fingers and toes could be from poor circulation of oxygen-rich blood, often due to a heart defect you were born with or narrowed or blocked blood vessels. A lacy, mottled, purple pattern shows up when bits of built-up cholesterol plaques break off, then get stuck in small blood vessels.
Nail and hand changes in interstitial lung disease. A – yellowing and thickening of the nails and cracking of the skin along the lateral aspects of the index, middle and ring fingers; B – improvements in symptoms following treatment.
"White/yellow/greenish discolouration and thickening at the end of the nail spreads gradually to involve the whole nail which may be thick and brittle," said Practical Diabetes. It added: "The distorted nail can become sharp or break off, and can dig into neighbouring toes."
Fingernails and toenails are closely related to hair, Dr. Poblete-Lopez says. Just as your hair might fall out after an illness or a prolonged period of stress, your nails can also exhibit symptoms. Most frequently, stress will cause side-to-side lines to appear on your nails.
Nail Health & Diabetes
In some people with diabetes, the nails take on a yellowish hue and become brittle. This is often associated with the breakdown of sugar and its effect on the collagen in nails. In certain cases, this yellowing of nails can be a sign of a nail infection.
Koilonychia is an abnormal shape of the fingernail. The nail has raised ridges and is thin and curved inward. This disorder is associated with iron deficiency anemia.
Nails and Health: Read the Signs
A touch of white here, a rosy tinge there, or some rippling or bumps may be a sign of disease in the body. Problems in the liver, lungs, and heart can show up in your nails. Keep reading to learn what secrets your nails might reveal.
Brittle nail syndrome, onychomycosis, paronychia, nail psoriasis, longitudinal melanonychia, Beau's lines, onychomadesis and retronychia are common nail disorders seen in clinical practice.
A swollen fingertip, curved nail, and thickening skin above a nail are often signs of thyroid disease.