Terry's nails appear white with ground-glass appearance and no lunula. This description best matches which nail finding?

• A. Terry's nails
• B. Beau's lines
• C. Koilonychia
• D. Clubbing

Answer: (A)

Recognize Terry's nails. The nails look white with a ground-glass appearance and there is little to no visible lunula. This pattern is classic for Terry's nails and is commonly seen with systemic conditions such as liver disease (like cirrhosis), heart failure, diabetes, malnutrition, or aging. It reflects changes in the nail bed from systemic illness rather than a local nail problem.

Beau's lines would present as horizontal grooves across the nails from a disruption in growth. Koilonychia describes spoon-shaped nails, often from iron deficiency. Clubbing shows a bulbous, rounded fingertip with nails that become curved and the angle between the nail and finger increases, usually from chronic hypoxia or lung disease.