White Spots on Nails: Calcium, Zinc Deficiency or Trauma? - Dermatology

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White spots on nails


The appearance of white spots on the nails is often attributed to a deficiency in calcium or zinc.
However, I consume milk daily.
Could it also be due to external trauma?

Mr. Hsu, 10~19 year old female. Ask Date: 2015/09/23

Dr. Wu Yuxin reply Dermatology


A literal description cannot confirm the presence of the lesion without actual visualization; it is recommended to have a physician evaluate it for accurate diagnosis.

Reply Date: 2015/09/23

More Info


White spots on nails, medically known as leukonychia, can be attributed to several factors, including nutritional deficiencies, trauma, or other underlying health conditions. The most common causes of white spots on nails are often related to minor injuries or trauma to the nail matrix, which is the tissue under the base of the nail. This trauma can occur without you even realizing it, such as banging your finger against a hard surface or excessive manicuring.

While nutritional deficiencies, particularly in calcium and zinc, have been suggested as potential causes of white spots, it is essential to note that these deficiencies are less common in developed countries where a balanced diet is typically consumed. Calcium is crucial for bone health and overall bodily functions, but its deficiency is more likely to manifest in other ways, such as brittle nails or osteoporosis, rather than isolated white spots. Zinc, on the other hand, plays a vital role in cell growth and repair, and its deficiency can lead to various symptoms, including changes in nail appearance. However, isolated white spots are not a definitive sign of zinc deficiency.

If you are consuming a balanced diet that includes dairy products like milk, which is a good source of calcium, and you are not experiencing other symptoms of deficiency, it is less likely that your white spots are due to a lack of these nutrients. Instead, consider the possibility of minor trauma as the more likely culprit.

In some cases, white spots can also indicate other health issues, such as fungal infections or allergic reactions to nail products. If the spots persist, change in appearance, or are accompanied by other symptoms, it would be wise to consult a healthcare professional or dermatologist for a thorough evaluation. They may perform a physical examination and, if necessary, recommend tests to rule out any underlying conditions.

In summary, while white spots on nails can be associated with nutritional deficiencies or trauma, the most common cause is minor injury to the nail matrix. Maintaining a balanced diet and being mindful of nail care can help prevent further issues. If you have concerns about your nails or overall health, seeking professional advice is always a good step.

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