
Beau's lines are horizontal ridges or dents in one or more fingernails or toenails. They are a sign that an illness, injury, or skin condition interrupted your nail growth. While Beau's lines aren't harmful by themselves, they could indicate an underlying health issue. For example, acute kidney disease may be present if Beau's lines appear. Additionally, vitamin deficiencies, such as low levels of zinc and iron, can cause nail abnormalities. In some cases, nail abnormalities may be a sign of more serious conditions, such as endocarditis or melanoma, and should be examined by a doctor.
| Characteristics | Values |
|---|---|
| Shape | V-shaped, hump-shaped, curved |
| Causes | Repeated trauma, fungal infections, psoriasis, hyperthyroidism, nail-biting, vitamin deficiencies, aging, iron deficiency, zinc deficiency, thyroid problems, eczema, peripheral artery disease, diabetes, malnutrition, chemotherapy, cancer, emotional stress |
| Symptoms | Pain, redness, swelling, grooves, ridges, dents, dark streaks, thickening, yellow to yellow-green discoloration, white discoloration, loose nails, detached nails, pitted nails |
| Treatment | Antifungal or antibacterial drugs, blood tests, thyroid function tests, moisturizers, manicure avoidance, blood sugar control, surgery, nail ridge filler, nail polish |
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What You'll Learn
- Beau's lines: horizontal ridges that may indicate nutritional deficiencies or severe stress
- Vitamin and mineral deficiencies: low levels of zinc, iron, or protein can disrupt nail growth
- Illness or injury: infections, diseases, or physical trauma can cause nail abnormalities
- Skin conditions: eczema, psoriasis, or fungal infections may lead to nail issues
- Ageing: vertical ridges are common with age, but horizontal ridges may indicate underlying issues

Beau's lines: horizontal ridges that may indicate nutritional deficiencies or severe stress
Beau's lines are horizontal ridges or grooves that appear on one or more fingernails or toenails. They are caused by a temporary interruption in nail growth due to various factors, including illnesses, injuries, skin conditions, nutritional deficiencies, or severe stress.
Illnesses and infections that can cause Beau's lines include heart attacks, high fevers, strep infections, and chronic conditions such as hypothyroidism, peripheral artery disease, and Raynaud's phenomenon. Injuries to the nail matrix, such as dropping something heavy on the finger or toe, can also cause Beau's lines. Severe skin conditions and vitamin or nutrient deficiencies, such as iron or zinc deficiency, can interrupt nail growth and lead to Beau's lines.
Emotional stress, such as divorce, job loss, or anxiety disorders, can also affect nail health and growth, resulting in Beau's lines. Chronic conditions that interfere with blood flow to the nail matrix, such as Raynaud's phenomenon, can cause Beau's lines by disrupting the normal nail growth cycle.
Beau's lines are not a disease and are usually harmless. They are often a sign that an individual had an illness or experienced nail damage a few weeks or months prior. Treating the underlying cause of Beau's lines will allow new, smooth nails to grow again. Healthcare providers can diagnose Beau's lines through a thorough examination of the nails and a detailed medical history.
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. Treating any underlying conditions and ensuring proper nutrition can help address Beau's lines and promote the growth of healthy nails.
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Vitamin and mineral deficiencies: low levels of zinc, iron, or protein can disrupt nail growth
Nail issues are often a sign of vitamin and mineral deficiencies, with low levels of zinc, iron, or protein disrupting nail growth. Zinc is a vital micronutrient that supports hair, skin, and nail health. A zinc deficiency can cause changes in nail colour and shape, including horizontal grooves known as Beau's lines. Zinc also plays a role in enabling growth by catalyzing enzymes, enabling gene expression, and the folding of proteins. Foods rich in zinc include whole grains, poultry, beans, and beef.
Iron deficiency can also cause nail problems, such as brittle nails and a condition called spoon nails, where the nail appears concave either horizontally or vertically. Spoon nails can affect both the fingernails and toenails and are often associated with other conditions like inflammatory skin diseases, hypo- or hyperthyroidism, or autoimmune disorders.
Weak and brittle nails can also be a sign of protein deficiency. Ensuring adequate protein intake is crucial for maintaining nail health.
It is important to note that nail issues are often multifactorial and can result from a combination of nutritional deficiencies, external trauma, and other factors. If you are concerned about nail abnormalities, it is always best to consult a healthcare professional for proper diagnosis and treatment.
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Illness or injury: infections, diseases, or physical trauma can cause nail abnormalities
Several illnesses, injuries, or physical traumas can cause nail abnormalities. Horizontal ridges or dents in one or more fingernails or toenails, known as Beau's lines, can indicate an underlying health issue. Beau's lines can be caused by various factors, including severe illnesses with high fevers, such as COVID-19, measles, or pneumonia. They can also be a sign of nutritional deficiencies, with zinc deficiencies causing Beau's lines and white spots, and iron deficiencies leading to vertical nail ridges and koilonychia (spoon nails).
Additionally, certain diseases and conditions can affect nail health. For example, thyroid problems, including hypothyroidism, can cause brittle nails or onycholysis, a condition where the nails become loose and detach from the nail bed. Other conditions that can impact nail appearance include systemic amyloidosis, malnutrition, vitamin deficiencies, lichen planus, and skin cancers near the nail and fingertip, such as subungual melanoma, which can distort the nail and appear as a dark streak.
In some cases, nail abnormalities can be a result of physical trauma or injury to the nail matrix, the area where nails start to grow. This can include injuries such as slamming your finger in a door or dropping something on your hand or foot. Manicures, artificial nails, or acrylics can also weaken or dry out your nails, leading to potential abnormalities.
It is important to note that any nail changes should be monitored and discussed with a healthcare provider to rule out any possible health conditions. Treating the underlying cause of nail abnormalities is crucial to promoting healthy nail growth and improving their appearance.
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Skin conditions: eczema, psoriasis, or fungal infections may lead to nail issues
Several factors can cause nails to develop humps, including skin conditions such as eczema, psoriasis, or fungal infections. Beau's lines, characterised by horizontal ridges or dents in the nails, can be indicative of underlying skin conditions. While Beau's lines are typically harmless, they can signal previous skin issues. Severe emotional stress, divorce, job loss, or anxiety disorders can also trigger these changes.
Eczema and psoriasis are two skin conditions that can affect nail health. While eczema involves inflammation and itchiness of the skin, psoriasis is an autoimmune condition causing rapid skin cell overgrowth and the formation of thick, scaly plaques. Psoriasis symptoms often occur after an injury, and nail involvement is common, with nail psoriasis affecting approximately 40-50% of people with psoriasis. Nails with psoriasis may exhibit yellowing, pitting, thickening, or structural changes.
Fungal nail infections, or onychomycosis, are another potential cause of nail issues. Fungi thrive in warm, moist environments, and the infection can affect the nail plate, nail bed, and root. Symptoms of fungal nail infections include nail discolouration, cracking, odour, and nail separation from the nail bed.
To address these skin conditions and their impact on nail health, various treatments are available. For eczema, applying creams or moisturisers can help manage symptoms. Nail psoriasis can be treated with specific medications, and it is essential to distinguish it from fungal infections, which have distinct risk factors and treatments. Early diagnosis and treatment of both conditions are crucial to prevent permanent nail damage.
It is important to consult a dermatologist or healthcare provider to determine the exact cause of nail issues and receive appropriate treatment. They can provide guidance on managing these skin conditions and improving nail health.
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Ageing: vertical ridges are common with age, but horizontal ridges may indicate underlying issues
Ridges in your fingernails or toenails can be a sign of ageing or a current/past illness. Vertical ridges are common with age, but horizontal ridges may indicate underlying issues.
Vertical Ridges
Vertical ridges are often a sign of ageing. These lines are usually harmless and are called longitudinal ridges. Many people develop vertical ridges as they get older, and they are typically not dangerous. The ridges may become more pronounced over time as nails naturally get thinner and more brittle.
Horizontal Ridges
Horizontal ridges, also known as Beau's lines, can indicate underlying issues. They are often a sign that something interrupted your nail growth. Possible causes include:
- Chemotherapy
- Nail trauma, such as closing a door on your finger or dropping something heavy on your toe
- Severe illness with a high fever, such as COVID-19, measles, or pneumonia
- Malnutrition or nutritional deficiencies, including zinc and iron deficiency
- Chronic conditions like diabetes and peripheral artery disease
- Mental and emotional stress
If you notice horizontal ridges, it is important to consult a healthcare provider to rule out any possible health conditions. Treating the underlying cause will allow new, smooth nails to grow.
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Frequently asked questions
There could be several reasons for this, including fungal infections, psoriasis, and hyperthyroidism.
Nail abnormalities can be caused by nutritional deficiencies, such as a lack of zinc, protein, or iron.
Vertical ridges are often a sign of aging, whereas horizontal ridges can indicate malnutrition, serious nail injury, or Beau's lines, which are associated with various underlying conditions.
Beau's lines are horizontal ridges or dents in the fingernails or toenails, indicating an interruption in nail growth due to illness, injury, or skin conditions.
It is recommended to consult a dermatologist or healthcare provider to determine the underlying cause and receive appropriate treatment or advice.


















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