What Your Nails Say About Your Health
Nail color and texture can reflect a wide range of medical conditions.
'Rarely the First Clue'
But can a doctor truly detect undiagnosed heart disease
or kidney problems by looking at your nails? American College of Physicians
spokeswoman Christine Laine, MD, MPH, says it's not likely. She doesn't dispute
the connection between nails and disease, but she cautions, "Nail changes are
rarely the first clue of serious illness. In most instances, patients will
manifest other signs or symptoms of disease before nail changes become evident.
For example, it would be unusual that nail clubbing was the first thing a
patient with emphysema
noticed. Breathing difficulty probably would have been present already."
In addition, Laine, who is the senior deputy editor of the Annals of
Internal Medicine, notes that certain illnesses may cause nail changes in
some patients but not in others. "For example, not all people with liver
disease develop white nails," Laine tells WebMD. The reverse is true as well -
not everyone with white nails has liver disease. "In the absence of other signs
or symptoms of disease, I would be reluctant to launch a complex, expensive
work-up for systemic disease solely because of nail findings."
Fox agrees there is no need to run to the nearest cardiologist if your nail
beds turn red. "It could very well be from nail polish," he says. Before
assuming the worst, it's important to look at more common explanations, such as
bruises, bleeding beneath the
nail, and fungal infections.
When to See a Dermatologist
Many common nail disorders stem from fungal infections, which can cause the
nails to crack, peel, and change color and texture. These infections often
prove difficult to treat and may require professional help, including
prescription antifungal medications. Fox says it's best to see a dermatologist
if symptoms persist, especially if the nails start to dislodge from the base or
you experience pain and swelling.
Changes in texture, shape, or color that aren't due to a bruise or fungal
infection, including irregular growth, pitting or holes in the nails, dark
brown streaks beneath the nail and cuticle, or long-standing warts
on the nail bed are particular concerns. According to Lior, they can indicate
cancer. "Warts around the nails have a tendency to develop into
squamous cell cancer," she tells WebMD.
"If patients see a dark discoloration involving the cuticle, then we worry
about melanoma," the
deadliest form of skin cancer.
Fox advises reporting these types of changes to a specialist as soon as
possible. "Dermatologists are well-trained in deciphering between innocuous and
serious nail conditions, as well as determining when a change requires further