Nail Ridges: What They Indicate About Health - Dermatology

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Nail ridges?


Dear Doctor, I noticed that my son's fingernails have prominent ridges, especially on both thumbs.
Does this indicate that he might be lacking a certain vitamin, or could it suggest that there is some underlying issue? I would appreciate your guidance on what to do, as I am not sure how to address this.
Thank you.

Jingya de mama, 30~39 year old female. Ask Date: 2004/12/13

Dr. Jiang Zheen reply Dermatology


It has occurred in many patients, so there is no need to worry about it, and it will not impact his health.

Reply Date: 2004/12/13

More Info


Nail ridges, also known as onychorrhexis or longitudinal striations, can be indicative of various health conditions and nutritional deficiencies. When you notice prominent ridges on your son's nails, particularly on his thumbs, it can be concerning, and it's understandable that you want to identify the underlying cause.

Firstly, it's important to note that nail ridges can be categorized into two types: vertical and horizontal. Vertical ridges run from the cuticle to the tip of the nail and are often considered a normal part of aging. However, they can also be associated with nutritional deficiencies, particularly deficiencies in vitamins such as biotin, vitamin A, and certain B vitamins. Horizontal ridges, on the other hand, can indicate more serious health issues, such as trauma, systemic illness, or even conditions like psoriasis or eczema.

In your son's case, if the ridges are vertical, it may not be a cause for alarm, but it would still be wise to monitor his overall health and nutrition. If the ridges are horizontal, it could suggest that he has experienced some form of stress or trauma, whether physical or emotional, or that there may be an underlying health issue that needs to be addressed.

Nutritional deficiencies are a common cause of nail abnormalities. Biotin, for example, is a B vitamin that plays a crucial role in maintaining healthy nails. A deficiency in biotin can lead to brittle nails and ridges. Similarly, a lack of protein, zinc, or iron can also manifest in the nails. Ensuring that your son has a balanced diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats can help support nail health.

If you suspect that your son may have a deficiency, consider incorporating foods high in these nutrients into his diet. For instance, eggs, nuts, seeds, and whole grains are excellent sources of biotin. Lean meats, legumes, and leafy greens can provide iron and zinc.

In addition to dietary considerations, it's essential to evaluate other factors that could contribute to nail changes. Frequent exposure to water, harsh chemicals, or even certain medications can affect nail health. Encourage your son to practice good nail hygiene, such as keeping his nails clean and trimmed, and using moisturizers to prevent dryness.

If the ridges persist or if you notice other symptoms, such as changes in color, texture, or shape of the nails, it would be prudent to consult a healthcare professional. A dermatologist or pediatrician can perform a thorough examination and may recommend blood tests to check for any deficiencies or underlying health issues.

In summary, while nail ridges can sometimes indicate nutritional deficiencies or health problems, they are not always a cause for concern. Monitoring your son's overall health, ensuring a balanced diet, and consulting with a healthcare professional if necessary will help address any potential issues. Remember, nails can reflect our internal health, and taking proactive steps can lead to better overall well-being.

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