MARTIN A. SHEARN, M.D., F.A.C.P.
To the editor: The transverse white stripes in Linder's case (Ann Intern Med 88:809, 1978) are similar to those described by Mees (1). Although somewhat broader than the usual Mees's line, the nature and genesis appear the same. These stripes are a legacy of a remote serious disorder and have been reported as a sequela of such conditions as septicemia, aortic dissection, and heavy metal poisoning. Contrary to Dr. Linder's statement that the stripes have not been seen in renal disease, they have been reported in both acute and chronic kidney failure (2). The approximate number of days since the
SHEARN MA. Striped Nails. Ann Intern Med. ;89:577. doi: 10.7326/0003-4819-89-4-577_1
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Published: Ann Intern Med. 1978;89(4):577.
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