Beau's lines: Difference between revisions

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	Beau's lines;
ICD-10	L60.4
ICD-9	703.8
DiseasesDB	30839

VisualWikitext

Latest revision as of 16:02, 13 August 2012

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Beau's lines are deep grooved lines that run from side to side on the fingernail. They may look like indentations or ridges in the nail plate that could be a sign of stress. Beau's lines are the result of a temporary cessation of cell division in the nail matrix, and they are associated with many serious conditions.

Historical Perspective

This condition of the nail was named by a French physician, Joseph Honoré Simon Beau (1806–1865), who first described it in 1846.

Causes

Causes by Organ System

Cardiovascular	Coronary occlusion, Shock
Chemical / poisoning	No underlying causes
Dermatologic	Dermatologic disorders
Drug Side Effect	Multiple underlying causes, most notably chemotherapy
Ear Nose Throat	No underlying causes
Endocrine	Diabetes
Environmental	No underlying causes
Gastroenterologic	No underlying causes
Genetic	No underlying causes
Hematologic	No underlying causes
Iatrogenic	No underlying causes
Infectious Disease	Severe infectious disease
Musculoskeletal / Ortho	No underlying causes
Neurologic	Delirium, Depression
Nutritional / Metabolic	Malnutrition
Obstetric/Gynecologic	No underlying causes
Oncologic	Chemotherapy
Opthalmologic	No underlying causes
Overdose / Toxicity	Chemotherapy, Toxins
Psychiatric	Delirium, Depression
Pulmonary	No underlying causes
Renal / Electrolyte	Hypocalcemia
Rheum / Immune / Allergy	Reiter's disease, Gout
Sexual	No underlying causes
Trauma	Trauma in general and to the nail in particular
Urologic	No underlying causes
Miscellaneous	Deep sea diving, Surgery

Causes in Alphabetical Order

Aging
Arthritis
Chemotherapy particularly cytotoxic agents
Coronary occlusion
Delirium
Depression
Dermatologic disorders
Diabetes
Drugs
Gout
Hypocalcemia
Infection
Iron deficiency
Malnutrition
Reiter's Disease
Severe infectious disease
Shock
Stress
Surgery
Toxins
Trauma
Traumatic damage to nail matrix

Diagnosis

Physical Examination

Beau's lines should be distinguished from Muehrcke's lines of the fingernails. While Beau's lines are actual ridges and indentations in the nail plate, Muehrcke's lines are areas of hypopigmentation without palpable ridges.

Research

A researcher found Beau's lines in the fingernails of 6 divers following a deep saturation dive to a pressure equal to 335 meters of sea water, and in 2 of 6 divers following a similar dive to 305 meters.^[1]

References

↑ Schwartz H., "Clinical observation: Beau's lines on fingernails after deep saturation dives", Journal of Undersea Hyperbaric Medicine (2006) Vol 3 No 1. pp 5-10.

External links

Template:Eponymous medical signs for integumentary and musculoskeletal systems

Template:WH Template:WS

[1] Schwartz H., "Clinical observation: Beau's lines on fingernails after deep saturation dives", Journal of Undersea Hyperbaric Medicine (2006) Vol 3 No 1. pp 5-10.

[1]

@@ Line 1: / Line 1: @@
+__NOTOC__
 {{Infobox_Disease
   | Name           = {{PAGENAME}}
   | Image          = Beaus groove.Nail.jpg
   | Caption        =
-  | DiseasesDB     =
+  | DiseasesDB     = 30839|
   | ICD10          = {{ICD10|L|60|4|l|60}}
   | ICD9           = {{ICD9|703.8}}
@@ Line 14: / Line 15: @@
 }}
 {{SI}}
 {{CMG}}
-__NOTOC__
-{{Editor Help}}
 ==Overview==
-'''Beau's lines''' are deep grooved lines that run from side to side on the [[nail (anatomy)|fingernail]]. They may look like indentations or ridges in the nail plate.  Beau's lines are the result of a temporary cessation of [[cell division]] in the [[nail matrix]].  This may be caused by an [[infection]] or problem in the nail fold, where the nail begins to form, or it may be caused by an injury to that area or a systemic process.
+'''Beau's lines''' are deep grooved lines that run from side to side on the [[nail (anatomy)|fingernail]]. They may look like indentations or ridges in the nail plate that could be a sign of [[stress]]. Beau's lines are the result of a temporary cessation of [[cell division]] in the [[nail matrix]], and they are associated with many serious conditions.
 ==Historical Perspective==
 This condition of the nail was named by a French physician, Joseph Honoré Simon Beau (1806&ndash;1865), who first described it in 1846.
-==Complete Differential Diagnosis of Causes of Beau's Lines (alphabetical):==
+==Causes==
-*[[Chemotherapy]] particularly [[cytotoxic]] agents
-*Dermatologic disorders
-*[[Diabetes]]
-*[[Drugs]]
-*[[Hypocalcemia]]
-*[[Malnutrition]]
-*[[Trauma]]
-==Complete Differential Diagnosis of Causes of Beau's Lines (by organ system):==
+===Causes by Organ System===
 {|style="width:70%; height:100px" border="1"
 |style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular'''
-|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | No underlying causes
+|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Coronary occlusion]], [[Shock]]
 |-
 |-bgcolor="LightSteelBlue"
@@ Line 44: / Line 37: @@
 |-bgcolor="LightSteelBlue"
 | '''Dermatologic'''
-|bgcolor="Beige"| Multiple underlying causes
+|bgcolor="Beige"| [[Dermatologic disorders]]
 |-
 |-bgcolor="LightSteelBlue"
@@ Line 80: / Line 73: @@
 |-bgcolor="LightSteelBlue"
 | '''Infectious Disease'''
-|bgcolor="Beige"| No underlying causes
+|bgcolor="Beige"| [[Severe infectious disease]]
 |-
 |-bgcolor="LightSteelBlue"
@@ Line 88: / Line 81: @@
 |-bgcolor="LightSteelBlue"
 | '''Neurologic'''
-|bgcolor="Beige"| No underlying causes
+|bgcolor="Beige"| [[Delirium]], [[Depression]]
 |-
 |-bgcolor="LightSteelBlue"
@@ Line 108: / Line 101: @@
 |-bgcolor="LightSteelBlue"
 | '''Overdose / Toxicity'''
-|bgcolor="Beige"| [[Chemotherapy]]
+|bgcolor="Beige"| [[Chemotherapy]], [[Toxins]]
 |-
 |-bgcolor="LightSteelBlue"
 | '''Psychiatric'''
-|bgcolor="Beige"| No underlying causes
+|bgcolor="Beige"| [[Delirium]], [[Depression]]
 |-
 |-bgcolor="LightSteelBlue"
@@ Line 124: / Line 117: @@
 |-bgcolor="LightSteelBlue"
 | '''Rheum / Immune / Allergy'''
-|bgcolor="Beige"| No underlying causes
+|bgcolor="Beige"| [[Reiter's disease]], [[Gout]]
 |-
 |-bgcolor="LightSteelBlue"
@@ Line 140: / Line 133: @@
 |-bgcolor="LightSteelBlue"
 | '''Miscellaneous'''
-|bgcolor="Beige"| Deep sea diving
+|bgcolor="Beige"| Deep sea diving, [[Surgery]]
 |-
 |}
-==Physical examination==
+===Causes in Alphabetical Order===
-Nail bed: Beau's lines should be distinguished from [[Muehrcke's lines]] of the fingernails.  While Beau's lines are actual ridges and indentations in the nail plate, [[Muehrcke's lines]] are areas of hypopigmentation without palpable ridges.
+*[[Aging]]
+*[[Arthritis]]
+*[[Chemotherapy]] particularly [[cytotoxic]] agents
+*[[Coronary occlusion]]
+*[[Delirium]]
+*[[Depression]]
+*[[Dermatologic disorders]]
+*[[Diabetes]]
+*[[Drugs]]
+*[[Gout]]
+*[[Hypocalcemia]]
+*[[Infection]]
+*[[Iron deficiency]]
+*[[Malnutrition]]
+*[[Reiter's Disease]]
+*[[infectious disease|Severe infectious disease]]
+*[[Shock]]
+*[[Stress]]
+*[[Surgery]]
+*[[Toxin]]s
+*[[Trauma]]
+*[[nail matrix|Traumatic damage to nail matrix]]
-==Recent Research on Beau's Lines==
+==Diagnosis==
+===Physical Examination===
+Beau's lines should be distinguished from [[Muehrcke's lines]] of the fingernails.  While Beau's lines are actual ridges and indentations in the nail plate, [[Muehrcke's lines]] are areas of [[hypopigmentation]] without palpable ridges.
+==Research==
 A researcher found Beau's lines in the fingernails of 6 divers following a deep saturation dive to a pressure equal to 335 meters of sea water, and in 2 of 6 divers following a similar dive to 305 meters.<ref>Schwartz H., "Clinical observation: Beau's lines on fingernails after deep saturation dives", ''Journal of Undersea Hyperbaric Medicine'' (2006) Vol 3 No 1. pp 5-10.</ref>
 ==References==
-<div class=
+{{Reflist|2}}
-"references-small">
-<references/></div>
 ==External links==
@@ Line 162: / Line 179: @@
 {{Diseases of the skin and subcutaneous tissue}}
 {{Eponymous medical signs for integumentary and musculoskeletal systems}}
-{{SIB}}
 [[Category:Dermatology]]
 [[Category:Medical signs]]

v t e Diseases of the skin and subcutaneous tissue (integumentary system) (L, 680-709)
Infections	Template:Navbox subgroup
Bullous disorders	acantholysis (Pemphigus, Transient acantholytic dermatosis) · Pemphigoid (Bullous, Cicatricial, Gestational) · Dermatitis herpetiformis
Inflammatory	Template:Navbox subgroup
Radiation-related disorders	Sunburn · actinic rays (Actinic keratosis, Actinic cheilitis) · Polymorphous light eruption (Acne aestivalis) · Radiodermatitis · Erythema ab igne
Pigmentation disorder	hypopigmentation (Albinism, Vitiligo) · hyperpigmentation (Melasma, Freckle, Café au lait spot, Lentigo/Liver spot, Acanthosis nigricans, Acral acanthotic anomaly)
Other skin	keratosis/hyperkeratosis (Seborrheic keratosis, Callus) · other epidermal thickening (Ichthyosis acquisita, Palmoplantar keratoderma) skin ulcer (Pyoderma gangrenosum, Bedsore) Cutaneous Markers of Internal Malignancy (Florid cutaneous papillomatosis, acanthosis nigricans, sign of Leser-Trelat) atrophic (Lichen sclerosus, Acrodermatitis chronica atrophicans) necrobiosis (Granuloma annulare, Necrobiosis lipoidica) · other granuloma (Granuloma faciale, Pyogenic granuloma) cutaneous vasculitis (Livedoid vasculitis, Erythema elevatum diutinum)
Connective tissues	collagen disease: Keloid localized connective tissue disorders: Lupus erythematosus (Discoid lupus erythematosus, Subacute cutaneous lupus erythematosus) · Scleroderma/Morphea · Linear scleroderma · Calcinosis cutis · Sclerodactyly · Ainhum
see also congenital, neoplasia