Mees' lines, or transverse striate leukonychia, are classically associated with arsenic poisoning, but have been described in other cases of acute or chronic illness. Their pathogenesis is thought to be a disruption of nail plate keratinization secondary to systemic stress. Mees' lines are observed in a patient with helminthic and amebic infections and no history of arsenic exposure. This case demonstrates another clinical setting in which Mees' lines can appear, providing further evidence that Mees' lines may chronicle systemic disease.

译文

Mees线或横纹白斑病通常与砷中毒有关,但在其他急性或慢性疾病病例中也有描述。它们的发病机理被认为是继发于全身压力的指甲板角质化的破坏。在患有蠕虫和阿米巴感染且没有砷暴露史的患者中观察到mees的行。该病例展示了另一种可能出现Mees' 线的临床环境,提供了进一步的证据表明Mees' 线可能会记录全身性疾病。

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