Nail changes may appear as early as sixth week7 and consist of leukonychia, distal onycholysis, brittleness, sublingual debris and koilonychias
.9 The exact mechanism is unknown.
Other features may include esophagitis, cardiospasm, achlorhydria, nail deformation that includes koilonychias
or clubbing, enlargement of spleen and thyroid, splenic tumors, dermatitis, seborrheica, hyperkeratosis, conjunctivitis, keratitis, blepharitis, and visual disturbances .
Infants with koilonychia
had significantly lower hematocrit (30% vs 34%; P<.005), hemoglobin (9.4 vs 10.7 g/dL; P<.02), and serum iron (50 vs 84 mcg/dL; P<.001) than controls.
Her examination at the time of current visit revealed pallor, koilonychia
and angular stomatitis.
However, the more classic symptoms such as oesophageal webs and koilonychia
(ridging, splitting and spoon-like concavity of the nails) are extremely rare.
Profound iron deficiency may lead to the development of koilonychia
; swallowing difficulties; a smooth, red tongue; and, in rare cases, mild splenomegaly, as seen in children.
Mean length of time that patients had received dialysis was compared with the presence or absence of discoloration (6.8 [+ or -] 5.5 v 5.3 [+ or -] 5.4 years; P=0.047), xerosis (6.6 [+ or -] 5.7 v 4.9 [+ or -] 5 years; P=0.019) and koilonychia
(9.7 [+ or -] 5.8 v 5.5 [+ or -] 5.3 years; P=0.01).
You have a condition called koilonychia
- or thin, brittle, spoon-shaped nails.
Out of 500 patients 500 (100%) patients have pallor, 134 (26.8%) have bald tongue, 136 (27.2%) have koilonychia
, 47 (9.4%) have ejection systolic murmur and 43 (8.6%) have bilateral pedal oedema.
, a classical symptom of iron deficiency anaemia, most common in middle-aged women who have heavy periods.
Glossitis, stomatitis, oesophageal webs and malabsorption reflect direct involvement of the gastrointestinal tract; pica and koilonychia
may also be present.