By Gary M. White, MD

Terry's nails

Terry's nails is a nonspecific change of the nails. It has been described in a wide variety of disorders including cirrhosis, congestive heart failure, adult-onset diabetes mellitus, peripheral vascular disease, chronic renal failure, peritoneal dialysis, hemodialysis, renal transplant patients and in human immunodeficiency disease. For a related condition, see Half and Half Nails.


The majority of the nail is white whereas the distal 1-2 mm rim of the nail (where the plate is still in contact with the bed) is pink. These changes appear to be due to differences in the vascularity of the nail bed.


No treatment is needed.

Additional Pictures

A patient with pseudoporphyria from renal failure and Terry's nails.
Terry's nails in a patient with pseudoporphyria


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