BE CAREFUL ABOUT THESE NAILS- Mees Lines
Mees' lines or Aldrich–Mees lines, also called leukonychia striata, are white lines of discoloration across the nails of the fingers and toes (leukonychia).
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What causes Mees lines?
Mees lines are associated with arsenic poisoning, Hodgkin lymphoma, carcinoid tumours and chemotherapy (i.e., cyclophosphamide, vincristine and doxorubicin). Muehrcke lines result from liver disease, nephrotic syndrome, malnutrition and severe hypoalbuminemia (less than 20 g/L).

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What are Mees lines on the nails?
Mees' lines (also known as Aldrich or Reynolds' lines) are transverse white bands on the nail plate laid down during periods of stress. Common associations are poisioning (arsenic, thallium, fluorosis), severe infection, renal disease, cardiac failure, and malignant disease.

Can stress cause Mees lines?
In addition, physical or emotional stress, certain diseases, and chemotherapy can cause white horizontal lines to appear across the nails.

Differential diagnoses of such nail changes include Beau’s lines, Muehrcke’s lines and Mees’ lines. All the above nail changes are due to a temporary cessation of nail growth.

A wide variety of nail changes are associated with high altitude mountaineering and have been attributed to a reduction in iron stores, local trauma, cold exposure, the side effects of medications taken at altitude and a hypobaric environment.

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