
Lines on toenails can be harmless, but they can also indicate underlying health issues. Beau's lines, for example, are horizontal ridges or dents in one or more nails, and can be caused by an injury or an illness that interrupted nail growth. They can also be a sign of malnutrition, serious nail injury, or ageing. A thorough inspection of the toenails is an integral part of a complete physical examination, and can help diagnose and treat nail disorders and recognise underlying systemic diseases.
| Characteristics | Values |
|---|---|
| Cause | An injury or illness that interrupted nail growth |
| Appearance | Horizontal ridges or dents in one or more nails |
| Diagnosis | A healthcare provider or dermatologist may diagnose Beau's lines by examining nails and taking a health history |
| Treatment | Work with a healthcare provider to find the underlying cause and address any possible health problems |
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What You'll Learn

Beau's lines
The thickness and number of Beau's lines can provide clues about the cause. A single Beau's line on one nail may indicate an injury that affected only one finger or toe. Beau's lines on all of your nails can mean that an illness or stress caused them. Multiple Beau's lines on each nail may mean that an injury or illness occurred more than once.
It is important to work with a healthcare provider to find out the underlying cause of Beau's lines and address any possible health problems. A dermatologist or healthcare provider may diagnose Beau's lines by examining your nails and taking a health history.
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Chronic conditions
Beau’s lines are horizontal ridges or dents in one or more of your nails. They are often caused by an injury or illness that interrupted nail growth. Chronic conditions that need treatment can cause them, so they should not be ignored. Beau’s lines on all of your nails can mean that an illness or stress caused them. Multiple Beau’s lines on each nail may mean that an illness or trauma happened more than once. A single Beau’s line on one nail may indicate an injury that affected only one finger or toe.
A thorough inspection of the fingernails and toenails is an integral part of the complete physical examination. An understanding of basic nail anatomy and familiarity with several basic types of nail line enable the clinician to diagnose and treat nail disorders and to recognize underlying systemic diseases, as each type of nail line has a particular differential diagnosis.
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Malnutrition
Horizontal lines on the toenails, also known as Beau's lines, can be a sign of malnutrition. They can also be caused by an injury or illness that interrupted nail growth, or by stress. Beau's lines can appear on one nail or multiple nails, and the thickness and number of lines can provide clues about the underlying cause.
There are many different types of malnutrition, including protein-energy malnutrition, micronutrient deficiencies, and malnutrition due to underlying medical conditions. Protein-energy malnutrition, also known as PEM, is the most common form and is characterised by a lack of protein and energy in the diet. This can lead to muscle wasting, oedema, and a weakened immune system. Micronutrient deficiencies, such as iron deficiency anaemia or vitamin A deficiency, can also have serious health consequences. For example, vitamin A deficiency can lead to night blindness and an increased risk of infection.
Underlying medical conditions can also contribute to malnutrition. For example, people with cancer may experience loss of appetite and difficulty eating due to the side effects of treatment. Additionally, certain gastrointestinal disorders can interfere with the body's ability to absorb nutrients, leading to malnutrition.
The treatment for malnutrition depends on the underlying cause and the severity of the condition. In general, the goal of treatment is to provide the body with the nutrients it needs to function properly. This may involve making changes to the diet, such as increasing the intake of protein, calories, and micronutrients. In some cases, nutritional supplements or feeding tubes may be necessary. It is important to work with a healthcare provider to determine the best course of treatment and to address any underlying health conditions.
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Ageing
Ridges in your nails are usually harmless but can mean different things. Vertical ridges are often a sign of ageing. Beau's lines, which are horizontal ridges or dents in one or more of your nails, can be caused by an injury or illness that interrupted your nail growth. They can also be caused by chronic conditions that need treatment, so they should not be ignored.
A single Beau's line on one nail may indicate an injury that affected only one finger or toe. Beau's lines on all of your nails can mean that an illness or stress caused them. Multiple Beau's lines on each nail may mean that an illness or trauma happened more than once.
Nail lines are a common presenting finding. An understanding of basic nail anatomy and familiarity with several basic types of nail line enable the clinician to diagnose and treat nail disorders and to recognize underlying systemic diseases, as each type of nail line has a particular differential diagnosis.
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Systemic diseases
Beau's lines are horizontal ridges or dents that can appear on one or more nails. They are often caused by an injury or illness that interrupted nail growth. Beau's lines can be indicative of underlying systemic diseases. The thickness and number of Beau's lines can provide clues about the cause. For example, a single Beau's line on one nail may indicate an injury that affected only one finger or toe. Beau's lines on all nails can mean that an illness or stress caused them. Multiple Beau's lines on each nail may mean that an illness or trauma happened more than once.
Healthcare providers or dermatologists can diagnose Beau's lines by examining the nails and taking a health history. It is important to work with a healthcare provider to find out the underlying cause of Beau's lines so that any possible health problems can be addressed.
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Frequently asked questions
Horizontal lines on toe nails can point to issues like malnutrition, serious nail injury, or Beau’s lines. Beau’s lines are caused by an illness or injury that interrupted your nail growth.
Vertical lines on toe nails are often a sign of ageing.
Multiple Beau’s lines on each toe nail may mean that an illness or trauma happened more than once.
You should not ignore lines on your toe nails as they can be caused by chronic conditions that need treatment. Work with your healthcare provider to find out the underlying cause so you can address any possible health problems.











































