It is 1.5 year that i have fatty liver (nonalcoholic). In last two tests, my liver enzymes and protein level were normal.
Recently, I have color changing hands in cold or when I am stressed.
In addition, I started to be suspicious about my nails and wonder if I have terry nails.
The picture of my nails are at:
are these terry nails?
I noticed that the color of my nails are changing depending on temperature. For example, under sun I do not have red tips. Is the color pattern in terry nails fixed? I.e., does it change according to temperature?
I will be happy if you answer my questions.
I can understand your concern for the nail changes given your history of fatty liver.
I have checked the photograph and from the symptoms and photograph, the possibility of terry nail is less likely because the lanula of the nails is visible. In terry nails, the fingernails appear white with a characteristic "ground glass" appearance, with no lunula (the crescent-shaped whitish area of the bed of a fingernail). It is thought to be due to a decrease in vascularity. Hence there appears a red or brown distal transverse band on the tip of fingernail. It is found in severe liver disease like cirrhosis, diabetes mellitus, congestive heart failure, hyperthyroidism, and/or malnutrition. Since your liver enzymes are normal, chances are less likely that you have terry nails. Color pattern in terry nails is fixed and it does not change with temperature.
This can be confirmed by an examination from a dermatologist. When the proximal pallorous nail bed is congested with blood by manually occluding venous outflow, this band must still be easily distinguishable.
For your condition, one important possibility which needs to be ruled out is of Raynaud’s phenomenon. It is an episodic reduction in the blood supply to the fingers and/or toes occurring mainly in response to cold which causes white tips of extremities. This is then sometimes followed by a bright red colour due to a compensatory increased blood flow before the normal skin colour and sensation are restored. If you are having these symptoms then this possibility should be evaluated by a dermatologist. If it is suspected then he may do a nail fold capillary microscopy.
Hope that this information helps and hope that you get better soon.
Copyright 1994-2016MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.