Horizontal Lines on Nails: Causes and Concerns - Dermatology

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The appearance of horizontal lines on the nails?


Hello, Director Hong! I would like to ask you about something.
In recent months, I have noticed horizontal lines appearing on my thumbnail, and later, horizontal lines appeared on all my fingers.
Could this be a sign of a deficiency in something? I found online that some people say this could indicate an underlying condition reflected in the nails.
Is this true? I'm quite worried.

xiong, 20~29 year old female. Ask Date: 2006/10/20

Dr. Hong Zhengsheng reply Dermatology


Hello: The appearance of horizontal lines on the nails can have many causes, such as significant physiological or psychological stress, nutritional status, localized nail eczema, fungal infections, and more.
These are all potential underlying conditions.
I apologize that based on your description, it is not possible to determine your specific condition.
Answers found online can only speculate based on the information provided and personal experience, and cannot provide the precise diagnosis and treatment that an in-person consultation can offer.
Therefore, I recommend that when you notice the symptoms described, you should promptly visit a public hospital in your city or county under the Department of Health and consult with a dermatologist.
Our physicians are always willing to assist you.
Thank you for using "Taiwan e-Hospital" to ask your question.
"Taiwan e-Hospital" cares about your health.

Reply Date: 2006/10/20

More Info


Hello Bear,
Thank you for reaching out with your concerns regarding the horizontal lines appearing on your nails. This phenomenon is known as Beau's lines, which are transverse grooves or indentations that can develop on the nails. They can be indicative of various underlying health issues, and understanding their causes is essential for addressing your concerns.

Beau's lines occur when there is a temporary interruption in the growth of the nail matrix, which is the tissue under the base of the nail responsible for nail growth. This interruption can be caused by several factors, including:
1. Illness or Infection: Significant illnesses, such as high fever, severe infections, or systemic diseases, can lead to the development of Beau's lines. The body prioritizes vital functions during illness, which can temporarily halt nail growth.

2. Nutritional Deficiencies: Deficiencies in essential nutrients, particularly proteins, zinc, and biotin, can affect nail health. While a balanced diet typically supports healthy nail growth, any significant dietary changes or deficiencies can manifest as changes in the nails.

3. Trauma: Physical trauma to the nail matrix, such as injury or repeated pressure, can also result in Beau's lines. If you have experienced any trauma to your fingers or toes, this could explain the appearance of the lines.

4. Stress: While there is limited scientific evidence directly linking stress to nail changes, psychological stress can lead to physical manifestations in the body, including changes in nail growth. Stress can also lead to habits like nail-biting, which may further affect nail appearance.

5. Medical Conditions: Certain medical conditions, such as psoriasis, eczema, or other dermatological issues, can also lead to changes in the nails. Additionally, conditions affecting circulation or systemic health can manifest in nail changes.

Given that you have noticed these lines on multiple nails, it may be worth considering a comprehensive evaluation of your overall health. If the lines persist or are accompanied by other symptoms such as pain, discoloration, or changes in nail texture, it is advisable to consult a healthcare professional. A dermatologist or a primary care physician can conduct a thorough examination and may recommend blood tests to check for nutritional deficiencies or underlying health conditions.

In the meantime, maintaining a balanced diet rich in vitamins and minerals, staying hydrated, and managing stress through relaxation techniques can support overall nail health. If you suspect a specific deficiency, consider discussing dietary adjustments or supplements with a healthcare provider.

In conclusion, while Beau's lines can be concerning, they often reflect temporary changes in health rather than permanent damage. Monitoring your nails and overall health, along with seeking professional advice if needed, will help you address any underlying issues effectively.
Take care, and I hope this information helps alleviate your concerns.

Best wishes,
Doctor Q&A Teams

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