
Our fingernails can reveal a lot about our overall health and well-being. Changes in nail texture, colour, and shape can be harmless, but they can also indicate an underlying disease. For instance, if your nails are becoming more rounded, this could be a sign of long-term oxygen deficiency. If you notice any changes in your nails, it's important to consult a board-certified dermatologist or doctor to determine the cause and rule out any potential health issues. In this paragraph, we will explore the various reasons why your fingernail texture may have changed and the steps you can take to address this concern.
| Characteristics | Values |
|---|---|
| Ridges | Vertical or horizontal waves across the nail |
| Texture | Rough, brittle, pitted |
| Shape | Spoon-shaped, washboard, clubbing, rounded, curved |
| Color | White, rosy, greenish-black, Yellow, brown, dark red |
| Infection | Paronychia, fungal |
| Disease | Melanoma, diabetes, anemia, hepatitis, iron deficiency, hypothyroidism, hypo/hyperthyroidism, autoimmune disorders, vitamin B12 deficiency, zinc deficiency |
| Cause | Ageing, injury, nutritional deficiencies, exposure to harsh chemicals, hormonal problems, regular contact with UV light |
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What You'll Learn

Fingernail ridges
Vertical Ridges
Also called longitudinal ridges or striations, vertical ridges are a typical sign of aging. They commonly develop in older adults due to a slowing of cell turnover. These ridges are not harmful and are usually nothing to worry about.
Horizontal Ridges
Deep horizontal ridges, known as Beau's lines, may suggest a more serious underlying condition. They can be caused by various factors, including chemotherapy, damage from using artificial nails or gel manicures, and nutrient deficiencies such as zinc deficiency. Beau's lines can also be associated with acute kidney disease, diabetes, or even trauma to the nails, resulting in red or brown spots underneath them.
Treatment and Prevention
If you notice fingernail ridges and are concerned, it is advisable to consult a dermatologist or healthcare provider. They can examine your nails, consider any other symptoms you may be experiencing, and recommend appropriate treatment or further evaluation. Treatment focuses on addressing the underlying cause of the ridges. For example, if Beau's lines are due to diabetes, managing blood sugar levels may help reduce these horizontal ridges. Skin conditions like eczema may be treated with moisturizers or topical ointments. Additionally, maintaining a balanced diet or taking supplements, as recommended by a healthcare professional, can help address any nutritional deficiencies that may be contributing to the ridges.
While most fingernail ridges are harmless, they can sometimes be an early indication of a more serious medical problem. Therefore, it is always a good idea to pay attention to any changes in your nails and seek professional advice if you have any concerns.
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Vertical and horizontal ridges
Ridges in your nails are visible lines or dents that may run vertically (up and down) or horizontally (across). While they are usually harmless, they can sometimes indicate a health condition or a previous injury to your nail.
Vertical Ridges
Vertical ridges, also called longitudinal ridges, are a common sign of aging, with many people developing them as they get older due to a slowing of cell turnover. They can also be caused by skin conditions such as eczema or very dry skin, or by hypothyroidism, which can cause thick, brittle nails that may also crumble or break easily. Additionally, iron deficiency can lead to vertical nail ridges and koilonychia (spoon nails).
Horizontal Ridges
Horizontal ridges, known as Beau's lines, can point to issues like malnutrition, serious nail injury, or an underlying condition. They may be caused by chemotherapy, damage from using artificial or acrylic nails or gel manicures for long periods, peripheral vascular disease (PAD), severe illness with a high fever, or certain nutritional deficiencies such as zinc deficiency.
If you notice persistent or new ridges in your nails, it is important to consult a healthcare provider to determine the underlying cause and receive appropriate treatment. Treating the underlying cause can help improve the appearance of your nails and promote the growth of healthy nails.
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Vitamin and mineral deficiencies
Changes in nail texture can be an indicator of vitamin and mineral deficiencies. Nails are a part of the body's outer layer, which acts as a barrier between the outside world and the internal body. This means that fingernails can be an outward manifestation of internal health.
- Iron deficiency: This can cause nails to become brittle and take on a spoon shape. This is known as koilonychia or spoon nails. Iron deficiency can also cause horizontal depressions on the nails, known as Beau's lines.
- Biotin deficiency: Biotin is a B vitamin that can help strengthen nails.
- Calcium deficiency: While calcium does not contribute significantly to nail hardness, it is still an important mineral for nail health.
- Vitamin C and folic acid deficiency: Low levels of these nutrients can lead to nail integrity loss and an increased frequency of hangnails.
- Vitamin B deficiency: A lack of vitamin B can cause an unusual darkening or bluish discolouration of the nails.
- Zinc deficiency: This can cause white spots on the nails, known as leukonychia punctata, as well as horizontal grooves called Beau's lines.
- Magnesium deficiency: Reduced plasma magnesium levels can result in soft, flaky nails that are prone to breaking or splitting.
- Vitamin A, B6, C, and D deficiency: A lack of these vitamins can lead to a condition called hapalonychia, or eggshell nails, where the top of the nails become thin and soft, with a rough texture.
- Selenium deficiency: Fingernails may turn white due to low selenium levels.
- Vitamin E deficiency: While no specific nail changes have been reported, vitamin E can help improve the nail changes associated with yellow nail syndrome.
It is important to note that nail changes can also be caused by factors other than vitamin and mineral deficiencies, such as health conditions, lifestyle factors, or simply the ageing process. If you are concerned about changes in your nail texture, it is always best to consult a healthcare professional.
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Skin conditions
Fingernail ridges are often a typical sign of aging. Vertical ridges, also known as 'washboard nails', are usually harmless and develop in older adults due to a slowing of cell turnover. However, if accompanied by a colour change, this could indicate a health problem. Horizontal ridges, called 'Beau's lines', may suggest a more serious condition, such as malnutrition, serious nail injury, or even acute kidney disease.
Changes in nail texture can be caused by a variety of factors, including exposure to harsh chemicals, anemia, hormonal problems, nutritional deficiencies, or regular contact with ultraviolet light. For example, spoon-shaped nails, also known as 'koilonychia', can indicate an iron deficiency. Similarly, white nails, or 'leukonychia', can be caused by trauma, anemia, dietary deficiencies, heart or kidney disease, or even poisoning.
Yellow nails are usually caused by a fungal infection, but can also be a reaction to a product, such as nail polish. In rare cases, yellow nails can indicate a larger issue. Black lines, or 'splinter haemorrhages', are most likely caused by trauma to the nail, but can also be a sign of underlying issues, including psoriasis, endocarditis, and nail melanoma.
If you are concerned about changes in your nail texture, it is important to consult a doctor or dermatologist. They can examine your nails, consider any other symptoms, and advise on a treatment plan if necessary.
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Anemia
A change in nail texture can be harmless, but it can also indicate an underlying health condition. One possible cause is iron deficiency anaemia, which can lead to brittle nails or a concave dip in the middle of the nails, resulting in a spoon-like appearance (koilonychia). This phenomenon is relatively rare and usually occurs in severe cases of iron deficiency. Iron deficiency anaemia can also cause nail paleness and mouth sores.
If you notice any unusual nail changes, it is recommended that you consult a doctor or a dermatologist. They can help diagnose any potential issues and provide treatment options. While nail abnormalities are often harmless, certain colour changes can indicate specific diseases. For example, white nails (leukonychia) can result from several factors, including trauma, anaemia, dietary deficiencies, heart or kidney disease, or even poisoning. Nails with a bluish tint can indicate that the body is not getting enough oxygen, which could be a sign of a lung problem such as emphysema.
Yellow nails are usually caused by a fungal infection, but in rare cases, they can indicate a more severe condition such as thyroid disease, lung disease, diabetes, or psoriasis. Horizontal ridges on the nails, known as Beau's lines, may suggest kidney disease or another underlying condition. Vertical ridges, on the other hand, are generally harmless and can be gently buffed to smooth them out.
Nail lifting, or onycholysis, can be a sign of infection or injury and may require treatment to clear the infection and promote normal nail growth. Pitted nails, or pitting, can be a sign of dents caused by an underlying condition. Redness, swelling, and tenderness around the nails, known as paronychia, can result from irritants, allergens, fungal infections, or other infections.
While nail changes can be a sign of various conditions, they are rarely the first symptom. If you notice any unusual nail changes or other unexplained symptoms, it is essential to consult a healthcare professional for proper diagnosis and treatment.
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Frequently asked questions
There are many reasons why your fingernail texture may have changed. It could be due to an injury, infection, or even a reaction to nail products. It's important to note that nail changes can sometimes indicate an underlying health issue, so it's always a good idea to consult a dermatologist or healthcare professional if you're concerned.
Some common causes of nail texture changes include fungal infections, psoriasis, thyroid disease, and vitamin or mineral deficiencies such as iron or zinc deficiency. Repeated wetting and drying of the nails can also lead to brittle nails.
While nail changes can be harmless, they can also indicate an underlying health issue. If you notice any of the following, it's important to consult a dermatologist: redness and swelling around the nail, a nail that is lifting up or detaching from the nail bed, pits or dents in the nail, or a change in nail colour, especially if it turns greenish-black.
If you notice a change in your nail texture, start by removing any nail polish or products and allowing your nails to grow out naturally. If the issue persists or is accompanied by other symptoms, consult a healthcare professional or dermatologist, who can help determine the underlying cause and provide appropriate treatment.











































