Leukonychia totalis. This is a rare nail disorder that is inherited in autosomal dominant fashion. The color of normal nail plates beyond the lunulae is largely pink from the blood in the blood vessels of the nail bed. The whiteness shown here is due to an abnormality in the nail plate. The nails may also be brittle.
Color Atlas of Pediatric Dermatology
Samuel Weinberg, Neil S. Prose, Leonard Kristal
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