
Dark lines on your fingernails can be caused by a number of factors, including injury, infection, or cancer. They can also be a symptom of linear melanonychia, which is a natural variation in nail colour, or subungual melanoma. While most black lines on the nails are not cause for concern, it is important to speak to a healthcare professional if you notice any changes to the quality of your nails, such as thinning, cracking, or differences in shape.
| Characteristics | Values |
|---|---|
| Cause | Increased deposits of melanin |
| Nail injury | |
| Infection | |
| Cancer | |
| Subungual melanoma | |
| Linear melanonychia | |
| Splinter haemorrhages | |
| Appearance | Dark stripes running down the nails |
| Color variations that range from black to deep brown and grey | |
| Small black or deep-red lines | |
| Treatment | Tumour or cancerous area must be removed |
| Nail biopsy | |
| Medication review |
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What You'll Learn

Melanonychia
Dark lines on your fingernails are usually nothing to worry about, but they can be a sign of subungual melanoma. Melanonychia is the name for the symptom of black or brown lines on your nails. It is caused by increased deposits of melanin, which gives skin its colour. Melanonychia can be malignant or cancerous and, in these cases, the tumour or cancerous area must be removed. This may mean losing all or part of your nail.
Linear melanonychia is the most common cause of dark stripes on nails. It is considered a natural fingernail colour variation and occurs when pigments in the nail, known as melanocytes, make excess pigment. This causes the nail beds to darken. It is more common in people with darker skin tones and nearly all Afro-Caribbean people develop these dark pigmentations on their nails by the age of 50.
Less common causes of nail melanonychia include taking certain medications, such as chemotherapy drugs, beta-blockers, anti-malarial drugs, or the medication azidothymidine. Dark lines on your nails can also be caused by injuries to the small blood vessels under the nail beds, known as splinter haemorrhages. These usually heal on their own within a few days. If a person has multiple splinter haemorrhages across several different nails, it could indicate an underlying condition.
If you notice changes to the quality of your nail, such as thinning, cracking, or differences in shape, you should contact your healthcare professional. If you notice a stripe on your nail that cannot be linked back to an injury, you should speak to a healthcare professional as soon as possible. The earlier subungual melanoma is diagnosed, the better the outlook.
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Subungual melanoma
Dark lines on your fingernails can be caused by a number of factors, including injury, infection, or cancer. Most commonly, these lines are due to a symptom known as linear melanonychia, which is considered a natural fingernail colour variation. Linear melanonychia occurs when pigments in the nail, known as melanocytes, make excess pigment, causing the nail beds to darken. This condition is more common in people with darker skin tones, and nearly all Afro-Caribbean people develop these dark pigmentations on their nails by the age of 50.
However, dark lines on the fingernails can also be a sign of subungual melanoma. This is a form of skin cancer that occurs under the nail, usually on just one fingernail. If you notice a stripe on your fingernail that cannot be linked back to an injury, it is important to speak with a healthcare professional as soon as possible. The earlier subungual melanoma is diagnosed, the better the outlook.
To diagnose subungual melanoma, a doctor will typically start by taking a medical history and asking about any medications you may be taking. They may also perform a nail biopsy, which involves removing a portion of the nail to examine for cancerous cells. If the biopsy reveals the presence of cancer, the tumour and part or all of the nail may need to be removed.
It is important to note that most black lines on the fingernails are not cause for concern and are fairly common, especially among people with darker skin tones. However, if you notice any changes to the quality of your nails, such as thinning, cracking, or differences in shape, it is always best to consult a healthcare professional.
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Linear melanonychia
Dark lines on your fingernails can be caused by a number of factors. Most commonly, these stripes are due to a symptom known as linear melanonychia. This is considered a natural fingernail colour variation, caused by excess pigment in the nail beds. Linear melanonychia is more common in people with darker skin tones, with nearly all Afro-Caribbean people developing these dark pigmentations on their nails by the age of 50.
If you notice changes to the quality of your nail, such as thinning, cracking, or differences in shape, it is important to contact your healthcare professional. While most black lines on the fingernails and toenails are not cause for concern, they can sometimes be a sign of subungual melanoma. In these cases, early diagnosis is key to a better outlook.
Splinter haemorrhages can also cause small black or deep-red lines on the nails, which are caused by injuries to the small blood vessels under the nail beds. They usually heal on their own within a few days, but if a person has multiple splinter haemorrhages across several different nails, it could indicate an underlying condition.
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Splinter haemorrhages
Dark lines on your fingernails can be caused by a number of factors. One cause is splinter haemorrhages, which appear as small black or deep-red lines and are caused by injuries to the small blood vessels under the nail beds. They usually heal on their own within a few days. If a person has multiple splinter haemorrhages across several different nails, it could indicate an underlying condition.
If you notice splinter haemorrhages on your nails, it is important to monitor them and seek medical advice if they do not heal on their own within a few days. It is also important to be aware of any other symptoms you may be experiencing, as they could be indicative of an underlying condition.
While splinter haemorrhages are typically not a cause for concern, dark lines on the nails can sometimes be a sign of subungual melanoma, a type of skin cancer. If you notice a stripe on one fingernail only and cannot link it back to an injury, it is important to speak with a healthcare professional as soon as possible.
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Melanin deposits
Dark lines on your fingernails are usually caused by increased deposits of melanin, which gives skin its colour. This condition is known as linear melanonychia and is considered a natural fingernail colour variation. It is more common in people with darker skin tones, and nearly all Afro-Caribbean people develop these dark pigmentations on their nails by the age of 50. Melanonychia can also be caused by nail injury, infection, or cancer.
Linear melanonychia occurs when pigments in the nail, known as melanocytes, make excess pigment. This causes the nail beds to darken. The stripes can range in colour from black to deep brown and grey and usually appear on more than one nail. Melanonychia is typically not a cause for concern, but it can be a sign of subungual melanoma, a form of skin cancer. If you notice a stripe on only one fingernail that cannot be linked back to an injury, it is important to speak with a healthcare professional.
There are other potential causes of dark lines on your fingernails. Splinter hemorrhages, for example, appear as small black or deep-red lines and are caused by injuries to the small blood vessels under the nail beds. They usually heal on their own within a few days. If you have multiple splinter hemorrhages across several different nails, it could indicate an underlying condition. Certain medications, such as chemotherapy drugs, beta-blockers, anti-malarial drugs, or azidothymidine, can also cause nail melanonychia.
If you notice changes to the quality of your nails, such as thinning, cracking, or differences in shape, it is important to contact your healthcare professional. They can perform exams and ask about your medical history to determine the cause of the dark lines on your nails. If melanonychia is found to be malignant or cancerous, the tumour or cancerous area must be removed, which may result in the loss of all or part of the nail.
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Frequently asked questions
Dark lines on your fingernails could be caused by a number of factors, including injury, infection, or cancer. They are also more common in people with darker skin tones.
If you notice dark lines on your fingernails, you should contact your healthcare professional, especially if you notice any other changes to the quality of your nails, such as thinning or cracking.
If the dark lines on your nails are caused by an underlying condition, you may also experience multiple splinter haemorrhages across several different nails.
If the dark lines on your nails are caused by cancer, the tumour or cancerous area may need to be removed, which could result in the loss of all or part of your nail.










































