
Ridges in your fingernails can be harmless or a sign of a health condition. Horizontal ridges, called Beau's lines, are deeper than vertical ridges and are often linked to more serious health issues, such as severe infections, diabetes, peripheral artery disease, nutritional deficiencies, or severe illness or injury that interrupted your nail growth. If you notice horizontal ridges on your fingernails, it is important to consult a doctor or dermatologist to determine the underlying cause and receive appropriate treatment.
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What You'll Learn

Horizontal nail ridges are called Beau's lines
Horizontal nail ridges, also known as Beau's lines, are a common occurrence that can be caused by various factors. Beau's lines are characterised by horizontal ridges or dents that appear on one or more fingernails or toenails. While they are typically harmless, they can indicate underlying health issues or previous injuries.
Beau's lines are often associated with conditions that interrupt nail growth temporarily. These interruptions can be caused by physical trauma, such as slamming your finger in a door or dropping something heavy on your finger. Additionally, certain artificial nail treatments, like gel manicures, acrylic nails, or the use of harsh nail products, can also contribute to the formation of Beau's lines. It is important to give your nails a break from these treatments to maintain their health.
Chronic conditions that affect blood flow to the nail matrix, such as peripheral artery disease (PAD) and Raynaud's phenomenon, can also lead to the development of Beau's lines. Hypothyroidism, a condition where the thyroid gland does not produce enough hormones, may result in thick, brittle nails with Beau's lines. Severe emotional stress, including divorce, the death of a loved one, or job loss, can also manifest as Beau's lines, highlighting the connection between emotional wellbeing and physical health.
Nutritional deficiencies, particularly zinc and protein deficiencies, can cause Beau's lines as well. Ensuring proper nutrition by addressing these deficiencies will help restore normal nail growth. Additionally, certain severe illnesses with high fevers, such as COVID-19, measles, or pneumonia, can also lead to the formation of Beau's lines.
While Beau's lines themselves are not harmful, they can indicate underlying health issues or previous injuries. Therefore, it is always advisable to consult a healthcare professional to determine the root cause and receive appropriate treatment. With proper care and management of any underlying conditions, new, smooth nails can grow in place of those with Beau's lines.
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They occur when nail growth is interrupted
Horizontal ridges, or Beau's lines, occur when something interrupts the growth of your nails at the nail matrix, which is the place where your nail emerges from your finger. These ridges are usually deeper than vertical ridges and can affect one or more nails. While Beau's lines are not a disease in themselves and are harmless, they are often linked to more serious underlying health issues.
There are a variety of factors that can cause Beau's lines, ranging from injuries to chronic conditions. For instance, dropping something heavy on your finger or toe, slamming your finger in a door, or exposure to extreme cold can lead to the formation of Beau's lines. In addition, manicures, artificial nails, or harsh nail products can also be contributing factors. Chronic conditions that interfere with blood flow to the nail matrix, such as hypothyroidism, peripheral artery disease, and Raynaud's phenomenon, can also cause Beau's lines.
Certain nutritional deficiencies, such as severe zinc deficiency or inadequate protein intake, can also lead to Beau's lines. However, once proper nutrition is restored, nail growth typically returns to normal. Mental and emotional stress, such as severe emotional stress or anxiety disorders, can also impact nail health and growth, potentially resulting in Beau's lines.
Furthermore, underlying medical conditions can also be a factor. For example, people undergoing chemotherapy may experience Beau's lines due to the interruption of nail growth. Endocarditis, a swelling of the heart's inner lining, and subungual melanoma, a rare type of melanoma affecting the nails, can also disrupt nail growth and contribute to the formation of Beau's lines.
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Possible causes include injury, illness, or environmental factors
Horizontal ridges or dents in your nails are usually due to a condition called Beau's lines. These lines occur when something interrupts your nail growth. Possible causes include injury, illness, or environmental factors.
Injury to your nail, such as slamming your finger in a door or dropping something heavy on your foot, can cause Beau's lines to form. Chronic conditions that interfere with blood flow to your nail matrix, such as peripheral artery disease (PAD) or Raynaud's phenomenon, can also lead to Beau's lines. Additionally, exposure to extreme cold or emotional stress can impact nail health and growth, resulting in horizontal ridges.
Illnesses that cause severe fever, such as COVID-19, measles, or pneumonia, can interrupt nail growth and lead to Beau's lines. Certain nutritional deficiencies, such as zinc or protein deficiencies, can also cause these horizontal ridges. Treating the underlying nutritional deficiency will allow nail growth to return to normal.
Environmental factors, such as the use of artificial or acrylic nails, gel manicures, or harsh nail products, can weaken or dry out your nails, leading to the formation of Beau's lines. It is important to note that continuous use of these products can cause nail damage.
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Underlying conditions like nutritional deficiencies may be to blame
Horizontal ridges on your fingernails, also known as Beau's lines, can be a sign of underlying health conditions, including nutritional deficiencies. While Beau's lines are typically harmless, they can indicate more serious health issues, such as severe infections, diabetes, or nutritional deficiencies. Therefore, it is important to monitor any changes in your nail's appearance and consult a healthcare professional if you have any concerns.
Nutritional deficiencies, such as a lack of certain vitamins and minerals, can contribute to the formation of Beau's lines. For example, a severe zinc deficiency has been linked to the development of horizontal ridges on fingernails. Iron deficiency is another potential culprit, leading not only to Beau's lines but also to vertical nail ridges and koilonychia, or spoon nails. Ensuring proper nutrition is crucial to maintaining nail health and addressing any deficiencies that may be causing these issues.
In addition to nutritional deficiencies, underlying health conditions can also play a role in the appearance of horizontal ridges on your fingernails. One such condition is diabetes, which can interrupt nail growth and contribute to the formation of Beau's lines. Proper management of blood sugar levels in individuals with diabetes is essential to reducing these horizontal ridges. Additionally, peripheral artery disease (PAD) and Raynaud's phenomenon are chronic conditions that can interfere with blood flow to the nail matrix, leading to the development of Beau's lines.
While less common, emotional stress and anxiety disorders can also impact nail health and growth, potentially resulting in Beau's lines. Experiencing severe emotional stress, such as divorce, the death of a loved one, or job loss, can manifest in the form of horizontal ridges on your fingernails. It is important to address these underlying emotional and mental health issues, as they can have a significant impact on your overall well-being, including the health of your nails.
To summarize, horizontal ridges on your fingernails, or Beau's lines, can be linked to underlying conditions such as nutritional deficiencies, diabetes, chronic blood flow issues, and emotional stress. Consulting with a healthcare professional and addressing these underlying causes are crucial steps in improving nail health and promoting the growth of new, smooth nails.
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Treatment focuses on addressing the root cause
Horizontal nail ridges, also known as Beau's lines, are less common than vertical ridges but often indicate an underlying condition that requires medical attention. These conditions include:
- Malnutrition or vitamin deficiencies, such as a lack of iron, folic acid, protein, vitamins A, B, C, D, E, zinc, or selenium.
- Serious nail injury or trauma to the nail matrix, which is the area where your fingernails start to grow.
- Conditions that interfere with blood flow to the nail, including peripheral vascular disease, diabetes, hypothyroidism, or Raynaud's disease.
- Digestive disorders that affect the absorption of nutrients, such as Crohn's disease, celiac disease, or ulcerative colitis.
- Skin conditions like eczema, psoriasis, lichen planus, or other inflammatory skin issues.
- Other illnesses, such as mumps, syphilis, or previous chemotherapy treatment.
Malnutrition and vitamin deficiencies
If vitamin or mineral deficiencies are the cause of your horizontal nail ridges, your doctor may advise you to alter your diet or take supplements to boost your levels. For example, biotin vitamins and supplements have been anecdotally linked to strengthening the nail bed, which may help with nail ridges.
Nail injury or trauma
If your horizontal nail ridges are caused by a nail injury or trauma to the nail matrix, you may not need to do anything. The ridges will grow out with the nail plate over time, and your nails will return to normal. However, it's important to avoid further nail damage, especially that associated with manicures, gel manicures, or artificial nails, which can dry out and weaken nails.
Conditions interfering with blood flow
If your horizontal nail ridges are caused by a condition that interferes with blood flow to the nail, such as peripheral vascular disease, diabetes, hypothyroidism, or Raynaud's disease, you should seek medical advice. Treating or managing the underlying condition is key to improving nail health. For example, successfully managing blood sugar levels in cases of diabetes may reduce horizontal nail ridges.
Digestive disorders
If your horizontal nail ridges are caused by a digestive disorder that affects nutrient absorption, such as Crohn's disease, celiac disease, or ulcerative colitis, addressing the underlying condition is crucial. Working with a healthcare professional to improve nutrient absorption and ensure your body has the proper building blocks to make new cells can help improve nail health.
Skin conditions
If eczema, psoriasis, lichen planus, or other inflammatory skin conditions are causing your horizontal nail ridges, treating these skin issues is essential. Moisturizers, ointments, or medications prescribed by a dermatologist can help manage symptoms and improve nail health.
Other illnesses
If your horizontal nail ridges are caused by an illness, such as mumps, syphilis, or previous chemotherapy treatment, addressing the underlying condition is vital. In some cases, the nail ridges will grow out over time as your nails grow. However, if new ridges continue to appear, it's important to seek medical advice to identify and treat any underlying conditions.
While there is no guaranteed way to prevent horizontal nail ridges, maintaining overall nail health can help. Keeping your nails hydrated with hand cream or oil can minimize the appearance of ridges and protect the nail. Additionally, avoiding nail damage, such as picking or biting your nails, can reduce the chances of causing nail irregularities.
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Frequently asked questions
Horizontal ridges on your fingernails, also known as Beau's lines, can be caused by a variety of factors, including nutrient deficiencies, severe illness, injury, or chronic conditions.
Beau's lines can be caused by nutrient deficiencies such as a zinc or protein deficiency. They can also be caused by severe illnesses like COVID-19, measles, or pneumonia, or injuries such as slamming your finger in a door.
Yes, chronic conditions such as peripheral artery disease (PAD), Raynaud's phenomenon, hypothyroidism, and skin conditions can cause Beau's lines.
Treating Beau's lines involves addressing the underlying cause. For example, if Beau's lines are caused by diabetes, managing blood sugar levels may help reduce the ridges. You can also improve the appearance of your nails by applying moisturizer to your nails and cuticles daily.
If you notice Beau's lines and are unsure of the cause, it is recommended to consult a healthcare provider to rule out any possible health conditions. A doctor can examine your nails and advise you on the appropriate treatment options.











































