Image Based Question-71622

In which condition,the following type of nail abnormality is seen?

A. Iron Deficiency Anemia

B. Sickle Cell Anemia

C. Megaloblastic Anemia

D. All of the above

Correct Answer » A Explanation

Ans:A. Iron Deficiency Anemia.

Koilonychia is shown in the image.

KOILONYCHIA

• Koilonychia , also known as spoon nails,a nail disease that can be a sign of hypochromic anemia, especially iron-deficiency anemia” .

• It refers to abnormally thin nails which have lost their convexity, becoming flat or even concave in shape.

• In a sense, koilonychia is the opposite of nail clubbing. In early stages nails may be brittle and chip or break easily.

• Koilonychia is associated with Plummer-Vinson syndrome and iron deficiency anemia.

It is also seen in:

• Diabetes mellitus;

• Protein deficiency, especially in sulfur-containing amino acids (cysteine or methionine);

• Exposure to petroleum-based solvents;

• Systemic lupus erythematosus; and