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Medicine Miscellaneous abb8a28c

What is the most likely cause of this presentation?

A
Chemotherapy
B
Hyperthyroidism
C
Nephrotic syndrome
D
Psoriasis
High-Yield Explanation
Answer A. ChemotherapyThese multiple white lines on the fingernails, known as Beau's lines, correspond with chemotherapy cycles in this patient with gastric cancer. Cytotoxic chemotherapeutic agents can induce the temporary arrest of proliferative function of the nail matrix.

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