![]() "It may be the first sign, it may be the herald sign of. But when it comes to discerning the state of one's health, turning the hand over is far more illuminating.įingernails can reveal an amazing amount about a person's health, medical experts say, with a surprising number of conditions manifesting themselves with changes in the shape, colour or overall state of the nails. rarediseases.Fortune tellers say they can divine a person's destiny by reading the lines in the palm of the hand. ![]() cdc.gov/arthritis/basics/rheumatoid-arthritis.html topics/rheumatoid-arthritis-and-the-skin Clinical observation and follow-up of sublingual splinter hemorrhages of toenails in Chinese adults. Increased cardiovascular risk in rheumatoid arthritis: Mechanisms and implications. Handheld dermatoscopy as an easy-to-use capillaroscopic instrument in rheumatoid arthritis: A cross-sectional study. aad.org/public/everyday-care/nail-care-secrets/basics/nail-changes-dermatologist-should-examine 12 nail changes a dermatologist should examine.Small brown spots may appear on skin around nails. Raised hemorrhages in the skin around the nails can happen as a result of RA’s inflammation of blood vessels. This is often related to connective tissue diseases. The skin where your nail emerges may grow over the nail area. Brittle nails can also be caused by nutrient deficiencies and other systemic conditions. Nails may become weaker and break more often. Spider veins that look like red or pink lines may develop in the skin around your nails. This is more common in psoriatic arthritis (PsA). ![]() Nails may separate from the nail bed and turn white or yellow. This can also be a sign of heart disease, lung disease, or liver disease. Nails may grow in a downward curving shape, sometimes causing the fingertips to swell and appear club-like. Doctors can examine with a magnifying dermascope to see problems that aren’t visible to the eye. ![]() Capillaries under and around nails may become enlarged or deformed or bleed. While they’re not as common, keep an eye out for these nail changes if you’re having other symptoms of RA or are at greater risk of RA: If you notice splinter hemorrhages on multiple nails without any evidence of injury, they could be a symptom of RA. Splinter hemorrhages can result from an injury to the nail, but they can also be a sign of systemic disease. It looks sort of like a splinter stuck under your nail and usually isn’t painful. Splinter hemorrhagesĪ splinter hemorrhage is a small brown, black, or reddish line or spot under your fingernail caused by tiny inflamed blood vessels leaking under the nail. Regardless of the cause of ridging, fissures or any damage to the nail bed can make you susceptible to infection. Ridges like these can be a symptom of RA.ĭeep ridges may cause a fissure where the nail splits lengthwise. Onychorrhexis - aka longitudinal ridging - occurs when grooves develop that run the length of your nails, from base to tip. This can lead to an infection of the tissue around your nails. Worst-case scenario, nails separate from the nail bed and fall out. Nails may also stop growing, and the cuticles can disappear. With yellow nail syndrome, nails become yellow, thicker, and curved. A type of medications called thiol drugs, which are used to treat RA, may also contribute to nail yellowing. Symptoms of rheumatoid arthritis in nails Yellow nail syndromeĪccording to the American Academy of Dermatology Association, RA may cause nails to turn yellow.
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