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Koilonychia in Iron-Deficiency Anemia
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Koilonychia in Iron Deficiency Anemia
Definition
Koilonychia is indented nails. Instead of growing straight, your nails look concave, like spoons. In many people, koilonychia is a sign of iron deficiency. Usually, you can get rid of spoon nails by treating the underlying cause.
Definition
Applications in Medicine
Applications in Medicine
Koilonychia (spoon-shaped nail) can be hereditary, acquired or idiopathic.
Acquired causes are common which include inflammatory dermatoses like psoriasis or lichen planus, onychomycosis, secondary to anaemia and traumatic or occupational.
Pros & Cons
Pros & Cons
PROS
The severe chronic iron deficiency is reversible with replenishment of iron stores as in the index case.
CONS
The main symptoms of koilonychia are:
- Fragile and brittle nails
- lattening of the nail plate
- Curvature or central concavity in the nail.
- Very dry skin of the fingers.
Subtopic 1
Issue applied in Ecuador
Koilonychia occurs in 5.4% of the patients with iron deficiency. It is thought to occur due to the upward deformation of lateral and distal portions of pliable iron deficient nail plates under mechanical pressure.
Issue applied in Ecuador
Conclusion
Conclusion
Patients may not complain of koilonychia. Therefore, clinicians should always examine patient's nails carefully. A trivial nail deformity may actually be a localized manifestation of serious conditions that should not be overlooked. Detecting a characteristic nail deformity can provide useful clues for performing further workup to diagnose conditions and narrow the differential diagnosis.