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Beau's Lines
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     A 62-year-old woman received six cycles of docetaxel chemotherapy during a six-month period for recurrent metastatic breast cancer. She had completed treatment four weeks before this photograph was taken. Six evenly spaced, transverse lines were noted on all her fingernails. Beau's lines are transverse depressions in the nail plate caused by temporary cessation of cell division in the proximal nail matrix. The condition may be caused by local disease of the nail fold or a systemic insult, such as an illness or the administration of a drug.

    Neil J. Mortimer, M.R.C.P.

    Jamie Mills, M.R.C.P.

    Leicester Royal Infirmary

    Leicester LEI 5WW, United Kingdom