
Horizontal white lines across the fingernails, also known as Muehrcke's lines, Mees' lines, or Leukonychia striata, can be a sign of an underlying health condition. They are not a common finding and may be caused by nutritional deficiencies such as protein or zinc deficiency, or even arsenic poisoning.
| Characteristics | Values |
|---|---|
| Name | Mees' lines, Muehrcke's lines, Leukonychia striata |
| Appearance | White lines or bands that run across the nails |
| Cause | Nutritional deficiency (e.g. protein or zinc deficiency), underlying health condition, arsenic poisoning |
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What You'll Learn

Muehrcke's lines
Horizontal white lines across the fingernails are known as Muehrcke's lines. They are white bands that go across the entire nail from side to side and are usually most clearly seen on the second, third and fourth fingers. The nail bed looks healthy in between the lines and they do not cause dents in the nail. When you press down on the fingernail, the lines temporarily disappear. Muehrcke's lines may be caused by nutritional deficiencies, such as a lack of protein or zinc. They can also be a symptom of a serious underlying health condition, such as arsenic poisoning. If you notice Muehrcke's lines on your fingernails, you should consult a board-certified dermatologist.
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Mees' lines
Horizontal white lines across the fingernails are known as Mees' lines. They are white lines or bands that appear across the nails, usually affecting all fingernails. They are not a common finding and are most often associated with arsenic poisoning. However, they may also be caused by nutritional deficiencies such as protein or zinc deficiency. Mees' lines are a symptom of an underlying health condition, and they will go away if a doctor diagnoses and treats the underlying cause. If you notice white lines in your fingernails or toenails, it is important to talk to a healthcare provider to be evaluated for poisoning or disease.
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Nutritional deficiency
Horizontal white lines across the fingernails, also known as Muehrcke's lines, can be a sign of nutritional deficiency. They are caused by a lack of protein or zinc in the diet. These lines are usually most clearly seen on the second, third, and fourth fingers. The nail bed looks healthy in between the lines, and they do not cause dents in the nail. When you press down on the fingernail, the lines temporarily disappear.
Muehrcke's lines are not the only potential cause of horizontal white lines on the fingernails. They can also be a symptom of a more serious underlying health condition, such as arsenic poisoning or disease. If you notice any horizontal white lines on your fingernails, it is important to consult a board-certified dermatologist or healthcare provider to determine the underlying cause and receive appropriate treatment.
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Arsenic poisoning
Horizontal white lines across the nails, known as Mees' lines or Muehrcke's lines, can be a symptom of arsenic poisoning. These lines are 1- to 2-mm wide horizontal parallel white bands that span the width of the nail plate, usually affecting all fingernails. They are not a common finding and are most often associated with arsenic poisoning.
Arsenic is a natural semi-metal element that is odourless and tasteless, and exposure to it can cause serious health problems and even death. Arsenic poisoning occurs when someone swallows, breathes, or touches something that contains arsenic. It can also enter the body through the skin if someone touches something that has arsenic on it.
The symptoms of arsenic poisoning can include nausea, vomiting, abdominal pain, diarrhoea, numbness, and muscle cramps. More severe cases can lead to organ damage, coma, and death. If you suspect that you or someone you know has been exposed to arsenic, it is important to seek medical attention immediately.
The treatment for arsenic poisoning depends on the severity of the exposure and the symptoms. It may include chelation therapy, which uses medications to remove heavy metals from the body, as well as supportive care to treat the specific symptoms and prevent complications.
To prevent arsenic poisoning, it is important to be aware of potential sources of arsenic exposure. These can include contaminated water, food, or soil, as well as certain pesticides and herbicides. It is also important to follow safety guidelines when working with arsenic in a laboratory or industrial setting.
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Underlying health condition
Horizontal white lines across the fingernails, also known as Muehrcke's lines, may indicate an underlying health condition. These lines are caused by a disruption in the nail's growth, which can be due to a nutritional deficiency, such as a lack of protein or zinc. While these lines can appear due to relatively minor issues, they may also indicate more serious disorders, such as kidney disease or liver disorders.
Muehrcke's lines are characterised by double white lines that run across multiple fingernails horizontally. They are typically most visible on the second, third, and fourth fingers, and the nail bed between the lines appears healthy. It is important to note that these lines do not move as the nail grows and do not cause dents in the nail.
Another similar condition is Mees' lines, which are also white lines or bands that appear on the fingernails or toenails. Mees' lines are associated with more serious underlying health conditions, such as arsenic poisoning, kidney failure, heart failure, breast cancer, and infections like measles and tuberculosis. These lines can be used to identify the time of poisoning, as they tend to appear about two months after exposure.
If you notice horizontal white lines across your fingernails, it is recommended that you consult a board-certified dermatologist to determine the underlying cause and receive appropriate treatment.
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Frequently asked questions
Horizontal white lines on nails are known as Mees' lines or Muehrcke's lines.
Mees' lines can be caused by an underlying health condition, such as nutritional deficiency (e.g. protein or zinc deficiency) or arsenic poisoning.
Mees' lines are white bands that go across the entire nail from side to side. They are usually most clearly seen on the second, third, and fourth fingers. The nail bed looks healthy in between the lines, and they do not cause dents in the nail.
If you notice Mees' lines on your nails, it is recommended to consult a board-certified dermatologist or another healthcare provider to be evaluated for poisoning or disease.











































