IRWIN M. BRAVERMAN, M.D.
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To the editor: The paper by Morton Linder in the June issue, "Striped Nails After Kidney Transplant" (Ann Intern Med 88:809, 1978), includes a statement that striped nails or transverse striae (leukonychia) have been associated with renal disease only when accompanied by hypoalbuminemia. The striped nails associated with hypoalbuminemia of renal disease are not the same as those described in his interesting report. The stripes associated with hypoalbuminemia do not move out as the nail plate grows but, rather, remain stationary. The stripes represent an unknown type of abnormality in the nail bed itself. The stripes that Dr. Linder describes
BRAVERMAN IM. Striped Nails and Kidney Transplantation. Ann Intern Med. ;89:286–287. doi: 10.7326/0003-4819-89-2-286
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Published: Ann Intern Med. 1978;89(2):286-287.
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