Beau's lines

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Beau's lines
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ICD-10 L60.4
ICD-9 703.8

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Beau's lines

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Phone:617-632-7753

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Overview

Beau's lines are deep grooved lines that run from side to side on the fingernail. They may look like indentations or ridges in the nail plate. Beau's lines are the result of a temporary cessation of cell division in the nail matrix. This may be caused by an infection or problem in the nail fold, where the nail begins to form, or it may be caused by an injury to that area or a systemic process.

History

This condition of the nail was named by a French physician, Joseph Honoré Simon Beau (1806–1865), who first described it in 1846.

Complete Differential Diagnosis of Causes of Beau's Lines (alphabetical):

Complete Differential Diagnosis of Causes of Beau's Lines (by organ system):

Cardiovascular No underlying causes
Chemical / poisoning No underlying causes
Dermatologic Multiple underlying causes
Drug Side Effect Multiple underlying causes, most notably chemotherapy
Ear Nose Throat No underlying causes
Endocrine Diabetes
Environmental No underlying causes
Gastroenterologic No underlying causes
Genetic No underlying causes
Hematologic No underlying causes
Iatrogenic No underlying causes
Infectious Disease No underlying causes
Musculoskeletal / Ortho No underlying causes
Neurologic No underlying causes
Nutritional / Metabolic Malnutrition
Obstetric/Gynecologic No underlying causes
Oncologic Chemotherapy
Opthalmologic No underlying causes
Overdose / Toxicity Chemotherapy
Psychiatric No underlying causes
Pulmonary No underlying causes
Renal / Electrolyte Hypocalcemia
Rheum / Immune / Allergy No underlying causes
Sexual No underlying causes
Trauma Trauma in general and to the nail in particular
Urologic No underlying causes
Miscellaneous Deep sea diving

Physical examination

Nail bed: Beau's lines should be distinguished from Muehrcke's lines of the fingernails. While Beau's lines are actual ridges and indentations in the nail plate, Muehrcke's lines are areas of hypopigmentation without palpable ridges.

Recent Research on Beau's Lines

A researcher found Beau's lines in the fingernails of 6 divers following a deep saturation dive to a pressure equal to 335 meters of sea water, and in 2 of 6 divers following a similar dive to 305 meters.[1]

References

  1. Schwartz H., "Clinical observation: Beau's lines on fingernails after deep saturation dives", Journal of Undersea Hyperbaric Medicine (2006) Vol 3 No 1. pp 5-10.

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Acknowledgement and Attribution Regarding Sources of Content

Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .