Intended for healthcare professionals

Endgames Spot Diagnosis

Nail changes

BMJ 2015; 351 doi: (Published 13 November 2015) Cite this as: BMJ 2015;351:h6072
  1. Thomas Wells, consultant medical oncologist
  1. 1Oncology Department, Weston General Hospital, Weston super Mare BS23 4TQ, UK
  1. Correspondence to: T Wells thomas.wells{at}

A 67 year old woman attended clinic before receiving her fifth cycle of adjuvant chemotherapy for breast cancer. On examination she was found to have nail changes. Can you name the nail changes shown (figure) and explain the …

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