
The natural colour of fingernails is typically a pinkish hue with white tips, though they can also appear to be flesh-coloured. Nails are made of a protein called keratin, and changes in their colour, such as yellow, green, blue, or black, can indicate an underlying health condition. For example, bluish nails may suggest poor circulation or respiratory issues, while pale or white nails could be a sign of anaemia or liver disease. Thus, while there may be slight variations in nail colour, drastic deviations from the typical pinkish or flesh-coloured tones can be indicative of health problems.
| Characteristics | Values |
|---|---|
| Natural colour of fingernails | Flesh-coloured with white tips |
| Reason for the white colour of the tips | Light reflects off the translucent nail tips |
| Reason for the pinkish hue | Blood-red nail bed |
| Cause of bluish nails | Lack of oxygen supply to the body |
| Cause of pale or white nails | Anaemia or liver disease |
| Cause of yellow nails | Fungal infection or psoriasis |
| Cause of bluish nails | Poor circulation or respiratory issues |
| Cause of greenish-black nails | Bacterial infection |
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What You'll Learn
- Fingernails are naturally colour-coded to show how far they can be trimmed without injury
- Healthy fingernails are typically flesh-coloured with white tips
- Bluish nails may indicate poor circulation or respiratory issues
- Yellow nails can be a sign of fungal infection or psoriasis
- Painting a single fingernail a different colour is called an accent nail

Fingernails are naturally colour-coded to show how far they can be trimmed without injury
Fingernails are naturally colour-coded to indicate how far they can be trimmed without causing injury. The white tips of the nails are devoid of blood vessels, and therefore can be cut without causing harm. The pinkish hue of the nail bed, on the other hand, indicates the presence of blood vessels, and cutting into this area may result in bleeding and pain.
The colour of our fingernails can also provide valuable insights into our overall health and well-being. While healthy fingernails typically exhibit a subtle shine with pinkish or flesh-coloured nail beds and white tips, any significant deviation from this normal colouring may signal an underlying health issue. For example, bluish or purplish undertones can suggest insufficient oxygen supply to the body, while black or green discolouration can be indicative of a bacterial infection.
Yellow nails, meanwhile, can point towards a fungal infection or psoriasis. Pale or white nails may indicate anaemia or liver disease. Changes in nail colour can also be indicative of nutritional deficiencies, infections, or systemic diseases. Therefore, it is important to pay attention to any unusual changes in nail colour, as they may be our body's way of communicating vital health information.
In addition to colour, other abnormalities in nails, such as pitting, ridges, brittleness, thickening, or a spoon-shaped appearance, can also serve as warning signs of potential health issues. By recognising these subtle clues, we can take proactive steps to address any underlying conditions and maintain optimal health.
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Healthy fingernails are typically flesh-coloured with white tips
Fingernails are made of a protein called keratin. When healthy, they are typically flesh-coloured with white tips. The white tips are caused by light reflecting from the translucent nail tips, which project beyond the blood-red nail bed. This means that the white colour indicates how far the nails can be trimmed without causing injury. The flesh-coloured part of the nail is the nail bed, where new cells are constantly growing in the matrix. As these new cells grow, the older cells are pushed out and flattened, creating the hardened form of the fingernail. The average growth rate for nails is approximately 0.1 mm each day, or 1 centimetre every 100 days. However, this growth rate can vary depending on factors such as age, sex, and the time of year. Nails generally grow faster in young people and males, and they tend to grow more rapidly during the summer months.
While healthy fingernails are typically flesh-coloured with white tips, any significant deviation from this normal pinkish hue can indicate an underlying health issue. For example, bluish nails can suggest that the body is not getting enough oxygen, while black or green discolouration can indicate a bacterial infection. Yellow nails can be a sign of fungal infection or psoriasis, and pale or white nails may indicate anaemia or liver disease. Therefore, it is important to pay attention to the colour of your nails, as they can provide clues about your overall health.
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Bluish nails may indicate poor circulation or respiratory issues
Fingernails are usually flesh-coloured with white tips and a subtle shine on the cuticles. However, they can sometimes deviate from this normal colour and turn bluish, which may indicate an underlying health issue. Bluish nails are often a symptom of poor circulation or respiratory issues.
Causes of Bluish Nails
Bluish nails are typically caused by a lack of oxygen in the blood, known as cyanosis. This can occur when the blood vessels are exposed to cold temperatures, causing them to constrict and limit blood flow to the hands and feet. In some cases, it may be a result of more serious conditions affecting the heart or lungs, such as:
- Heart conditions, including congenital heart disease and structural issues, can affect the amount of oxygen-rich blood reaching the body tissues.
- Lung conditions, such as chronic obstructive pulmonary disease (COPD), emphysema, chronic bronchitis, pneumonia, and pulmonary embolism, can lead to a decrease in blood oxygen levels.
- Other conditions, such as acute respiratory distress syndrome (ARDS), high altitudes, and infections in the respiratory tract, can also contribute to cyanosis.
Diagnosis and Treatment
To diagnose the specific type of cyanosis, a healthcare provider will perform a physical examination, review the patient's medical history, and conduct specific tests. Pulse oximetry and arterial blood gas (ABG) tests are commonly used to measure blood oxygen levels and determine the severity of cyanosis. Treatment for cyanosis depends on the underlying cause and can include oxygen therapy, medications, and addressing any respiratory or cardiovascular issues.
While bluish nails can be a temporary response to cold temperatures, it is important to seek medical advice to rule out any underlying health conditions.
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Yellow nails can be a sign of fungal infection or psoriasis
Fingernails are made of a protein called keratin and are usually flesh-coloured with white tips. However, they can sometimes deviate from this natural colour, indicating an underlying health issue. One such deviation is the yellowing of nails, which can be a sign of a fungal infection or psoriasis.
Fungal nail infections, also known as tinea unguium or onychomycosis, are contagious and can be picked up through physical contact with an infected person or surface. They thrive in moist, warm environments, so people whose hands are often wet are at a higher risk of contracting them. Some changes that may occur in the nails due to a fungal infection include discolouration, flakiness, brittleness, and lifting from the nail bed. In some cases, fungal infections can also cause hyperpigmentation or changes in nail colour.
Psoriasis, on the other hand, is an inflammatory, autoimmune skin condition that can affect the nails. It causes the rapid overgrowth of skin cells, leading to thick, scaly plaques on the skin. When psoriasis occurs on the nails, it can result in yellowing, pitting, and lifting of the nails, along with joint pain or arthritis. Unlike fungal infections, psoriasis is not contagious.
While staining from external factors such as nail polish or food can cause temporary yellowing, it is important to consult a dermatologist if the issue persists or is accompanied by other nail changes. They can evaluate the condition and provide appropriate treatment recommendations, such as prescription medications for psoriasis or antifungal treatments for fungal infections.
Therefore, yellow nails can be more than just a cosmetic concern. They can be a sign of underlying health issues, such as fungal infections or psoriasis, and should not be ignored.
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Painting a single fingernail a different colour is called an accent nail
Fingernails are made of a protein called keratin and are usually a pinkish hue with white tips. However, they can come in different natural colours, which may indicate underlying health issues. For instance, bluish nails may suggest poor circulation or respiratory issues, while yellow nails can be a sign of a fungal infection or psoriasis.
When it comes to nail art, painting a single fingernail a different colour from the rest is called an "accent nail" or "highlight nail". This trend adds variety and a fun twist to a manicure without the trouble and cost of a complex design. While there is no fixed rule, the accent nail is commonly seen on the ring finger. This may be because painting the middle finger could be seen as offensive, the index finger is used for pointing, the thumb is too different as it is used for typing, and the pinky finger is associated with the bathroom or toilet.
Some people choose to add glitter to their accent nail, as having all nails decked out in glitter can be overwhelming. Others opt for a different shade of the same colour or a completely different colour. Ultimately, it is a matter of personal preference, and there is no limit to the creativity one can employ when choosing an accent nail colour.
The accent nail trend has been popularised by celebrities such as Beyoncé, who has been seen sporting an accent nail during a Today Show concert series. Additionally, some individuals use accent nails as a form of symbolism or to raise awareness for certain causes. For example, a red thumb can serve as a reminder not to text and drive, while a pink accent nail can show support for breast cancer awareness.
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Frequently asked questions
In healthy individuals, finger nails are typically flesh-coloured with white tips. The white colour is due to the reflection of light from the translucent nail tips that project beyond the blood-red nail bed.
While finger nails are typically flesh-coloured, they can deviate from this natural colour due to underlying health issues.
Colours like yellow, green, blue, or black can be signs of infection, poor circulation, or other health problems. Pale or white nails may indicate anaemia or liver disease. Bluish nails may indicate respiratory issues or a lack of oxygen supply to the body.
Apart from discolouration, unhealthy fingernails may exhibit signs such as pitting, ridges, brittleness, thickening, or a spoon-shaped appearance.











































