Case of Dr M Bortolo

45 year old female, healthy, presented with these lines on her nails. They had been present for around 8 weeks. No history of major illness in the past 6 months. No medications. Review of symptoms did not reveal any abnormality other than heavy menstrual cycle over the last 6 months.

Bloodwork was normal outside of a hemoglobin of 119 with microcytosis and ferritin < 5. elevated reticulocyte count. Nil otherwise.
Chest x-ray negative.

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You are all excelling yourselves with the quality of these images. I don't have an example of this condition in my collection! See this eMedicine Reference These are better images! (Submitted By: Dr Ian McColl)

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Muehrcke's lines, Great case