
The white, half-moon shape at the base of your fingernail is known as a lunula. The word comes from the Latin for little moon. Lunulae are part of the nail matrix, the tissue just beneath your nail that contains nerves, lymph, and blood vessels. While the size and shape of your nail beds are largely determined by genetics, not everyone will have a visible lunula on each nail. Changes in the appearance of your lunula can indicate an underlying health condition. For example, red lunulae can indicate heart failure, while blue lunulae could suggest Wilson's disease, a rare inherited genetic disorder.
| Characteristics | Values |
|---|---|
| Name | Lunula (pl.: lunulae); from Latin 'little moon' |
| Description | Crescent-shaped whitish area of the bed of a fingernail or toenail |
| Appearance | Usually half-moon-shaped with unique histologic features |
| Location | At the end of the nail that is closest to the skin of the finger but still under the nail |
| Formation | Appears by week 14 of gestation |
| Function | Has a primary structural role in defining the free edge of the distal nail plate (the part of the nail that grows outward) |
| Sensitivity | A very delicate part of the nail structure; damage to the lunula may result in permanent deformation of the nail |
| Colour | Lunulae are usually whitish in colour, but may turn red or blue |
| Health Indicators | Discoloured or missing lunulae may indicate an underlying disease, including liver or heart issues, vitamin deficiency, or kidney failure |
| Treatment | Treating the underlying condition will usually restore the nail appearance |
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What You'll Learn

The white part of the fingernail is called lunula
The white part of the fingernail is called the lunula. It is the crescent-shaped whitish area at the base of a fingernail or toenail. The word "lunula" comes from the Latin "little moon". The lunula is located at the end of the nail closest to the skin of the finger, but it still lies under the nail. It is not actually white but only appears so when seen through the nail.
The lunula is a very delicate part of the nail structure. If the lunula is damaged, the nail will be permanently deformed. Even when the entire nail is removed, the lunula remains in place and resembles a smaller fingernail embedded in the nail bed. In most cases, it is half-moon-shaped and has unique histological features. The lunula is the only visible part of the nail matrix, which is the tissue just beneath the nail that contains nerves, lymph, and blood vessels. The nail matrix produces the cells that become the hardened nail plate.
Healthy lunulae are usually whitish and take up a small portion of the bottom of the nail. They are typically most visible on the thumb and appear smaller on the index finger, gradually shrinking in size until they reach the pinky finger, where they may be barely visible. Not everyone will have a lunula on each nail, and those who do may notice that they vary in appearance across each nail.
In some cases, missing lunulae may be the result of trauma or a sign of an underlying health condition. For example, in patients with severe liver disease, the lunula may be obliterated, resulting in a condition known as Terry's nails, where most of the nail plate turns white. In patients with severe renal disease, the lunula may turn white or brown. If the lunula turns red, it may signal heart failure. However, small or missing lunulae usually aren't cause for concern.
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White nails can be a sign of injury or a condition
The white part of the fingernail is called a lunula, which is Latin for "little moon". It is the half-moon shape at the base of the fingernail, covering the bottom of the nail just above the cuticle. Lunulae are part of the nail matrix, which refers to the tissue just beneath the nail that contains nerves, lymph, and blood vessels. It is also where new cells are made that will make up the nail.
White nails, or leukonychia, can be a sign of injury or a condition. White spots on nails are usually the result of a nail injury, but they can also be caused by allergies, fungal infections, mineral deficiency, or heavy metal poisoning. In rare cases, they can be a symptom of a more serious condition, such as a systemic disease. A systemic disease is one that affects the entire body, and white spots on the nails can sometimes be a rare symptom of conditions including diabetes, heart failure, HIV, liver cirrhosis, and psoriasis.
White spots on the nails can be caused by injuries to the nail plate or nail matrix, which can occur from manicures, knocks, bangs, or bites. They can also be caused by wearing tight footwear or shoes that are too small. In some cases, white spots may be the side effects of certain medications, such as those used for chemotherapy, bacterial infections, or urinary tract infections.
If you think that your white nails are caused by an injury, you may not need to see a doctor. However, if the spots are persistent, worsening, or accompanied by other symptoms, it is recommended to consult a healthcare professional for diagnosis and treatment.
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Leukonychia refers to a condition where the whole nail is white
Leukonychia, or leuconychia, is the medical term for white discoloration appearing on nails. It is derived from the Greek words "leuko" (white) and "onyx" (nail). This condition consists of a whitening of the entire nail and most likely occurs across all nails. However, in some cases, it may be limited to a single nail.
Leukonychia can be classified as either "true leukonychia" or "apparent leukonychia". True leukonychia refers to discolouration due to abnormal nail plate keratinisation, resulting in a loss of the nail's general pink undertone. This type of leukonychia does not disappear with the application of pressure to the nail plate. In contrast, apparent leukonychia is caused by changes in the nail bed that are visible through the nail plate. This form of leukonychia is harmless and can be identified by applying pressure to the nail, which causes the white areas to disappear.
There are several potential causes of leukonychia. In most cases, it is the result of injury or trauma to the base of the nail (the matrix) where the nail is formed. This can include mechanical trauma, such as lifting the nail off the bed or a blow to the nail causing bleeding between the nail and the bed. Other causes may include periungual warts, onychomycosis, or psoriasis. Additionally, leukonychia may be a side effect of taking certain medications, such as sulphonamides, a family of antibiotics.
In some instances, leukonychia may be indicative of more serious underlying conditions. For example, it could be a clinical sign of hypoalbuminaemia (low albumin), which is associated with nephrotic syndrome, a form of kidney failure. Leukonychia has also been linked to liver failure, protein malabsorption, and protein-losing enteropathies. In familial cases, leukonychia totalis may be caused by mutations in the PLCD1 gene, exhibiting an autosomal dominant or, in some cases, an autosomal recessive pattern of inheritance. Therefore, a thorough assessment by a healthcare professional is essential to determine the underlying cause of leukonychia and rule out any potential systemic diseases.
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White nails can be a genetic condition
The white part of the fingernail, known as the lunula (pl.: lunulae; from Latin 'little moon'), is the crescent-shaped whitish area of the bed of a fingernail or toenail. It is located at the end of the nail that is closest to the skin of the finger and is usually most visible on the thumb.
Healthy lunulae are typically whitish in colour and are a natural part of the nail matrix – the tissue beneath the nail that contains nerves, lymph, and blood vessels. The lunula produces the cells that become the hardened nail plate.
In some cases, the disappearance of lunulae may be a result of trauma or a sign of an underlying health condition. For example, in patients with severe liver disease, kidney disease, or heart failure, the lunula may be obliterated and the nail may appear mostly white with a darker rim, a condition known as Terry's nails.
However, it is important to note that white nails can also be a genetic condition, known as leukonychia (or leuconychia). This is a medical term for white discolouration appearing on nails, derived from the Greek words "leuko" (white) and "onyx" (nail). Leukonychia can manifest in several ways, including small white dots or bands that run parallel to the lunula. In some cases, leukonychia may be inherited in an autosomal dominant or recessive fashion and can be caused by mutations in the PLCD1 gene on chromosome 3p22.2.
Additionally, white nails can be a sign of aging, as the lunula may extend and cause the majority of the nail to appear white. This is known as Terry's nails and is often seen in older adults. While it may be aesthetically concerning, it is usually not a cause for alarm.
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The lunula is the only visible part of the nail matrix
The white, half-moon shape at the base of your fingernail is known as a lunula. This is the only visible part of the nail matrix, which refers to the tissue just beneath your nail that contains nerves, lymph, and blood vessels. The nail matrix is where your fingernails and toenails form and create new cells.
The lunula is located at the end of the nail closest to the skin of the finger, but it still lies under the nail. It is not actually white but only appears so when viewed through the nail. The lunula is a very delicate part of the nail structure, and if it is damaged, the nail will be permanently deformed. Even when the entire nail is removed, the lunula remains in place and is similar in appearance to another smaller fingernail embedded in the nail bed.
The lunula is the distal edge of the nail matrix, where the process of keratinization is not yet complete. Keratinization is where living cells lose their cellular contents to become non-living, keratinized nail cells. The lunula is the newest portion of the nail and can provide clues about a person's health. For example, the absence of lunulae may indicate malnourishment or a vitamin B-12 deficiency. In some cases, the disappearance of lunulae may be an early warning sign of argyria, a type of poisoning caused by excess silver exposure.
Not everyone will have a lunula on each nail, and they may vary in appearance across each nail. They are usually most visible on the thumb and may gradually shrink in size until they are barely visible on the pinky finger.
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Frequently asked questions
The white part of your fingernail could be the lunula, which is the crescent-shaped area at the base of your nail bed. It is not actually white but appears so when seen through the nail. Alternatively, it could be leukonychia, which is characterised by white spots or lines on the nail.
The lunula is the white, crescent-shaped area at the base of your nail bed. It is part of your nail matrix, which is the tissue just beneath your nail that contains nerves, lymph, and blood vessels. The lunula is very delicate, and if damaged, the nail will be permanently deformed.
Leukonychia is usually the result of injury to the nail. In some cases, it may be indicative of other health conditions, such as Darier disease or Hailey-Hailey disease.











































