
White nails, also known as leukonychia, can affect anyone of any gender, age or ethnicity. It is a common condition that causes white spots or streaks on your fingernails or toenails. While it is usually caused by trauma or injury to the nail, it can also indicate a range of other issues, from dietary deficiencies to more serious conditions like liver disease, kidney disease, or even poisoning. If you notice white nails alongside other severe symptoms, it is important to consult a doctor or dermatologist for further diagnosis and treatment.
| Characteristics | Values |
|---|---|
| Medical Name | Leukonychia |
| Description | Partial or complete discolouration of the nail plate on one or more fingernails or toenails |
| Cause | Injury, zinc or calcium deficiency, fungal infection, allergic reaction, anaemia, dietary deficiencies, heart or kidney disease, poisoning, or other illnesses |
| Treatment | No treatment for trauma-related leukonychia; spots will grow out and can then be clipped off. If not caused by injury, consult a doctor for diagnosis. |
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What You'll Learn

White nails can be a result of trauma or injury to the nail
White nails, or leukonychia, can be a result of trauma or injury to the nail. This can occur due to striking the fingertip, or repeated trauma such as frequent manicures, or biting and picking at the nails. White nails can also be caused by minor trauma or medication, which may resolve over a few months. In some cases, the white nail plate may remain permanently.
White nails can also be a result of chronic slow and progressive trauma to the nail matrix, applied by the persistent edema of the fingers and terminal phalanges. This type of leukonychia is usually apparent in the periungual skin, and the growth rate of the nail plate may be slower.
White nails can also be caused by more serious injuries, which may result in the detachment of the nail plate from the nail bed, and an alteration to the nail contour. This type of injury can also be associated with more serious conditions, such as Darier disease or Hailey-Hailey disease.
If you are experiencing white nails alongside other severe symptoms, it is recommended that you reach out to a healthcare professional for further advice and diagnosis.
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They can also indicate anaemia or liver disease
White nails, also known as leukonychia, are a common nail dyschromia. The nail loses its general pink undertone and appears partially or completely white. While leukonychia is often caused by trauma or injury, it can also indicate underlying health issues. These include anaemia, dietary deficiencies, kidney disease, poisoning, and liver disease.
Anaemia is a condition in which the body does not have enough healthy red blood cells. Iron deficiency is a common cause of anaemia, and low iron levels can also lead to white nails. Therefore, pale or white nails may be a visible sign of anaemia. However, it is important to note that anaemia can have various other symptoms, and nail discolouration alone is not sufficient for diagnosis.
Liver disease can also cause white nails, specifically a type of nail abnormality called Terry's nails. This condition is characterised by a bilaterally symmetrical white nail bed with a thin distal band of darker colour, usually pink or red. All nails are uniformly involved, and the lunula is often not visible. Terry's nails are associated with liver problems, such as hepatitis, and can be a warning sign of more severe liver issues.
While white nails can be a cosmetic concern, they may also indicate underlying health conditions. If you notice persistent or unusual nail discolouration, it is essential to consult a healthcare professional for proper diagnosis and treatment.
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White nails could be a sign of poisoning
White nails, also known as leukonychia, refer to fingernails that are partially or completely white in colour. The white colour could be the result of several factors, including trauma, anemia, dietary deficiencies, heart or kidney disease, or even poisoning. Poisoning by toxic heavy metals such as arsenic and lead can cause white spots or lines on the nails. If you are experiencing other symptoms of heavy metal poisoning, such as nausea, vomiting, abdominal pain, or neurological issues, seek immediate medical attention. A blood test can detect abnormal levels of these metals in your system.
White nails can be classified into true leukonychia and apparent leukonychia. True leukonychia occurs when there is partial or whole nail plate damage caused by injury to the nail plate or matrix. This results in keratin disruption and trapped air within the nail plate, leading to reflection and a lack of transparency. Apparent leukonychia, on the other hand, refers to the discolouration of the nail bed, which disappears when pressure is applied to the nail.
While white nails are often harmless and may resolve on their own, they can sometimes indicate an underlying health issue. If you notice persistent or worsening white spots on your nails, it is recommended to consult a doctor for a proper diagnosis and treatment. Doctors may perform various tests, including mycology, nail biopsy, and blood tests, to determine the underlying cause.
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Fungal infections can cause white nails
White nails, or leukonychia, can be caused by several factors, including fungal infections. While nail discolouration is often harmless, it can sometimes indicate an underlying health condition.
Fungal nail infections, or onychomycosis, are usually caused by Trichophyton rubrum, a species of fungus. The infection can start at the corner of the nail and spread towards the cuticle, or vice versa. It can also be caused by Candida, a type of yeast. This type of infection is often spread through contact with individuals who have fungal nail infections or athlete's foot.
Fungal nail infections can cause the nail to become thickened, distorted, and discoloured, turning white, yellow, or green. The skin around the nail may become swollen and painful, and the nail may even detach from the nail bed. These infections are more common in toenails than in fingernails, as they often occur when your feet are constantly warm and damp, such as when wearing trainers for extended periods.
To treat a fungal nail infection, antifungal medication is often recommended. This can come in the form of tablets or a special paint applied directly to the nail. It is important to note that treatment for fungal infections can take several months, and stopping the medication too early may result in the infection returning.
If you suspect a fungal nail infection, it is advisable to consult a doctor or dermatologist. They may take a sample of your nail for testing and recommend appropriate treatment options.
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White nails may be caused by zinc or calcium deficiency
White nails, or leukonychia, can be caused by several factors, including dietary deficiencies, trauma, and underlying health conditions. While it is a common condition, it can indicate a more serious issue in some cases. One potential cause of white nails is zinc deficiency. Zinc is an essential mineral that plays a crucial role in various bodily functions, including nail health. A lack of zinc can lead to nail abnormalities, such as white spots or streaks. Similarly, calcium deficiency can also contribute to leukonychia. Calcium is necessary for maintaining strong and healthy nails, and insufficient calcium levels can result in nail discolouration and other nail problems.
In addition to zinc and calcium deficiencies, leukonychia can be caused by trauma or injury to the nails. This can include physical trauma, such as striking the fingertip or repeated damage from manicures, nail biting, or tight footwear. Avoiding such traumas can help prevent the development of white nails. Additionally, leukonychia can be classified as true or apparent discolouration. True leukonychia is caused by partial or whole nail plate damage, resulting in trapped air within the nail plate, which leads to reflection and a lack of transparency. Apparent leukonychia, on the other hand, is secondary to a disease of the nail bed, and the white appearance disappears with pressure application on the nail.
While white nails due to zinc or calcium deficiency may not always indicate a serious health concern, it is important to address these deficiencies to promote overall nail health. Ensuring a balanced diet rich in zinc and calcium can help prevent and improve leukonychia caused by these deficiencies. Zinc-rich foods include seafood, meat, dairy, legumes, and nuts, while calcium can be obtained from dairy products, leafy greens, and calcium-fortified foods. Additionally, supplements can be considered under the guidance of a healthcare professional.
It is worth noting that white nails can sometimes be a symptom of a more severe condition. For example, leukonychia has been associated with hypoalbuminemia, kidney disease, rheumatoid arthritis, and heart problems. Therefore, if you are concerned about the appearance of your nails or if white spots appear alongside other symptoms, it is advisable to consult a healthcare provider for further evaluation and appropriate diagnosis.
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Frequently asked questions
White nails, also known as leukonychia, can be caused by several things, including trauma, anemia, dietary deficiencies, heart or kidney disease, poisoning, or even arsenic ingestion. If you notice white nails, it is best to consult a doctor.
True leukonychia is partial or whole nail plate damage caused by injury to the nail plate or matrix. Apparent leukonychia is secondary to disease of the nail bed. Pseudoleukonychia is caused by outside organisms, such as fungi.
Treatment for leukonychia depends on its cause. If it is due to an injury, the spots will grow out, and you can then cut or clip them off. If it is due to an allergic reaction, stop using the product you believe is causing it.
White nails can indicate several health issues, including anemia, liver disease, kidney disease, heart disease, or even arsenic poisoning. If you are concerned about the appearance of your nails, consult a doctor or dermatologist.



























