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What Do Black Stripes On The Nail Bed Indicate?

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Posted on Tue, 25 Jul 2017
Question: My name is Harshad and I have a brother who is working in Oman. he is 33 years old and has habiting of biting nails since childhood. recently he noticed that there is a black stripe of line in his nail bed. He is afraid if this could be a sign of cancer as he read somewhere about this sign. Request you to kindly opine on the same. I shall attach the pic of his nail for your reference.
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Answered by Dr. Asmeet Kaur Sawhney (1 hour later)
Brief Answer:
Longitudinal melanonychia and its causes

Detailed Answer:
Hi
Thanks for being at HealthcareMagic
I have gone through your complaints as well as reviewed the attached photograph.
It seems to be longitudinal melanonychia.
It is a common variant in dark skinned persons but is considered abnormal in white people.
It has various causes , most common being racial variation.
Other less common causes are certain drugs, skin diseases like lichen planus, fungal infection, trauma ( nail biting in your brothers case), subungual naevi, squamous cell carcinoma and rarely malignant melanoma.
Your brother's nail is slightly disfigured, probably due to the habit of nail biting but I can appreciate some blackish discolouration on the proximal nail fold which seems little abnormal.
I would recommend you to consult a dermatologist and get it examined clinically and go for a biopsy if required.
Regards
Dr Asmeet
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Asmeet Kaur Sawhney

Dermatologist

Practicing since :2007

Answered : 4993 Questions

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What Do Black Stripes On The Nail Bed Indicate?

Brief Answer: Longitudinal melanonychia and its causes Detailed Answer: Hi Thanks for being at HealthcareMagic I have gone through your complaints as well as reviewed the attached photograph. It seems to be longitudinal melanonychia. It is a common variant in dark skinned persons but is considered abnormal in white people. It has various causes , most common being racial variation. Other less common causes are certain drugs, skin diseases like lichen planus, fungal infection, trauma ( nail biting in your brothers case), subungual naevi, squamous cell carcinoma and rarely malignant melanoma. Your brother's nail is slightly disfigured, probably due to the habit of nail biting but I can appreciate some blackish discolouration on the proximal nail fold which seems little abnormal. I would recommend you to consult a dermatologist and get it examined clinically and go for a biopsy if required. Regards Dr Asmeet