What does it mean when a white ring appears above the lunula of the fingernail?

Nov 29, 2025 Source: Cainiu Health
Dr. Li Feng
Introduction
In general, a white ring appearing above the lunula of the nail may be caused by temporary cessation of nail growth, inadequate nutrition, onychomycosis (fungal nail infection), psoriatic nail changes, or nail dystrophy. If discomfort or symptoms occur, it is recommended to seek timely medical evaluation and treatment at a正规 hospital. In daily life, maintain clean and dry nails, avoid frequent contact with chemical detergents, and follow a balanced diet to ensure adequate nutrition.

Under normal circumstances, a white ring appearing above the lunula (the half-moon area) of the fingernail may be caused by temporary nail growth arrest, inadequate nutrient intake, onychomycosis (fungal nail infection), psoriatic nail disease, or nail dystrophy. If discomfort occurs, it is recommended to seek timely medical evaluation and treatment at a正规 hospital. The specific causes are analyzed as follows:

1. Temporary Nail Growth Arrest

Recent trauma, staying up late, or excessive stress can affect the activity of matrix cells at the nail root, leading to a temporary interruption in nail growth and the formation of white horizontal stripes. Maintaining regular sleep patterns, reducing late nights, learning to manage emotions and relieve stress, and avoiding further physical trauma to the nails will allow symptoms to gradually resolve as new nail grows out.

2. Inadequate Nutrient Intake

Long-term deficiency of calcium, zinc, or vitamin B complex can impair keratin synthesis in the nails, resulting in white ring-like markings. Adjust your diet by consuming more milk, lean meat, nuts, and fresh fruits and vegetables to ensure balanced nutrition and avoid picky eating habits.

3. Onychomycosis (Fungal Nail Infection)

Fungal infection of the nail plate and underlying tissue damages the nail structure, causing a white band to appear above the lunula, often accompanied by brittle, thickened nails. Follow medical advice to use terbinafine hydrochloride cream, itraconazole capsules, or bifonazole solution. Continue medication until the new nail has fully grown out, and avoid sharing nail clippers with others.

4. Psoriatic Nail Disease

When psoriasis affects the nails, abnormal function of the nail matrix cells leads to white spots or ring-like patterns on the nail, sometimes accompanied by nail pitting. Under medical guidance, treatments such as calcipotriol ointment, tacrolimus ointment, or acitretin capsules may be used. Avoid over-trimming the nails in daily care.

5. Nail Dystrophy

Congenital poor development of the nail matrix or long-term chronic illnesses that impair nail nutrition supply can lead to white ring-like changes in the nail. Use vitamin AD drops, compound amino acid and vitamin tablets, or calcium carbonate D3 tablets as directed by a physician, and actively treat any underlying chronic conditions.

In daily life, maintain clean and dry nails, avoid frequent contact with chemical detergents, eat a balanced diet to ensure adequate nutrition, prevent nail injuries, minimize harmful irritations, monitor nail changes closely, and seek medical attention when necessary.