Muehrcke's Lines (Leukonychia striata) Narrow while transverse lines (Not depressed, compared to Beau's lines). Usually 2 or more lines on one nail. Seen in states of decreased protein synthesis or increase protein loss such as with hypoalbunemia (usually less than < 2.2 g/dL), certain chemotherapy and nephrotic syndrome. #Muehrckes #Lines #Leukonychia #striata #Fingernails #PhysicalExam #Clinical #Photo #Sign