The most common nail finding observed was melanonychia [Figure 3], which was seen in 74 (37%) patients followed by onychoschizia [Figure 4], Muehrcke's lines
, Mees' lines and Beau's lines.
Muehrcke's lines (transverse white bands that run parallel to the lunula) occur in a minority of patients with hypoalbuminemia.
Of those, 10 (23%) had Muehrcke's lines. All of the patients with Muehreke's lines had albumin levels <2.7 g/dL.
Other nail changes observed are leukonychia, koilonychia, subungual hyperkeratosis, onycholysis, Mees' lines, Muehrcke's lines
, Beau's lines and splinter hemorrhages.5,7 The colour changes noted in half-and-half nails disappear several months after successful renal transplantation.6
have also been described in a patient with Peutz-Jeghers syndrome, (13) as well as in a heart transplant recipient.