Vertical Nail Ridges: Are They a Sign of Health Issues? - Dermatology

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Nail ridges


Doctor, may I ask? My fingernails all have prominent vertical ridges.
Is this a sign of health issues? (All ten fingernails have this condition.)

maddog, 40~49 year old female. Ask Date: 2015/03/30

Dr. Li Yufen reply Dermatology


Hello: Generally speaking, if you look closely at your fingernails, you will notice fine vertical ridges.
These tend to become more pronounced as one ages, especially after the age of 40, and are considered a sign of aging, with males being more commonly affected than females.
They are also often seen in individuals who experience excessive fatigue, stay up late, or suffer from insufficient sleep, which may accelerate the aging process.
Additionally, frequent exposure to water, cleaning agents, or other chemicals, as well as nails that are not adequately moisturized and overly dry, can sometimes make these ridges more noticeable.
If you are concerned about your health, it is advisable to schedule a comprehensive health check-up to understand your current health status.
Thank you!

Reply Date: 2015/03/30

More Info


Vertical nail ridges, also known as longitudinal striations, are common and can be observed in many individuals. These ridges run from the cuticle to the tip of the nail and can vary in prominence. While they are often considered a normal part of aging, their presence can sometimes raise concerns about underlying health issues.

In general, vertical ridges are not typically indicative of serious health problems. They can be caused by a variety of factors, including:
1. Aging: As we age, our nails may undergo changes, including the development of ridges. This is a natural process and is often not a cause for concern.

2. Nutritional Deficiencies: Certain deficiencies, particularly in vitamins and minerals such as biotin, zinc, and iron, can affect nail health. If you are experiencing other symptoms of deficiency, such as fatigue or changes in skin and hair, it may be worth discussing with a healthcare provider.

3. Dehydration: Insufficient hydration can lead to changes in the nails, including the formation of ridges. Ensuring adequate fluid intake can help maintain overall nail health.

4. Trauma or Injury: Physical trauma to the nail matrix (the area where the nail grows) can result in ridges. If you have recently injured your nails, this could be a contributing factor.

5. Medical Conditions: In some cases, vertical ridges can be associated with certain medical conditions, such as eczema, psoriasis, or other dermatological issues. However, these conditions usually present with additional symptoms beyond just nail changes.

6. Genetics: Some individuals may simply have a genetic predisposition to developing vertical ridges in their nails.

If you notice that the ridges are accompanied by other changes in your nails, such as discoloration, splitting, or changes in thickness, or if you experience other symptoms like pain or swelling, it would be prudent to consult a healthcare professional. They can perform a thorough evaluation, which may include a physical examination and possibly blood tests to rule out any underlying health issues.

In conclusion, while vertical nail ridges can be a sign of various factors, they are often benign and related to aging or minor nutritional deficiencies. Maintaining a balanced diet, staying hydrated, and practicing good nail care can help promote healthy nails. If you have concerns about your nail health or overall well-being, seeking advice from a healthcare provider is always a good approach. They can provide personalized recommendations based on your specific situation and health history.

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