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How does Ida cause koilonychia?
Although the aetiologies of koilonychia are myriad, to simplify they may be divided into hereditary or congenital, acquired and idiopathic causes. It is primarily considered to be a manifestation of chronic iron deficiency anemia due to malnutrition, worms, celiac disease, gastrointestinal blood loss, and malignancy.
How does iron deficiency affect nails?
Koilonychia is an abnormal shape of the fingernail. The nail has raised ridges and is thin and curved inward. This disorder is associated with iron deficiency anemia. Leukonychia is white streaks or spots on the nails often due to drugs or disease.
What is the meaning of koilonychia?
noun Medicine/Medical. an abnormal condition in which the outer surfaces of the nails are concave; spoon nail.
Why do toenails become concave?
This nail deformity is associated with numerous conditions including nutritional deficiencies, genetic disorders, trauma, occupational exposure, vascular disorders, autoimmune disease and musculoskeletal disorders. The most commonly reported cause of koilonychia is iron deficiency anemia.
Why koilonychia is referred to as spoon nail?
What are spoon nails? Spoon nails are thin and soft and shaped like a little spoon that is often capable of holding a drop of water. There are many causes, but the most frequent one is iron deficiency anemia. The medical name for spoon nails is koilonychia, from the Greek words for hollow (koilos) and nail (onikh).
Is koilonychia genetic?
FK, also known as hereditary or congenital koilonychias, is a rare genetic disease[1] with autosomal dominant type of inheritance with high degree of penetrance. [2–4] It is not associated with ectodermal, systemic or orthopedic defects unlike many other congenital nail diseases.
Why do I not have Lunula?
Sometimes, you may only be able to see lunula on your thumbs, or possibly not on any fingers at all. In these cases, the lunula is most likely hidden under your skin. Though the connection is not completely understood, an absent lunula can indicate anemia, malnutrition, and depression.
What does koilonychia look like?
Spoon-shaped or spooning fingernails refers to a concavity in the fingernail itself, resulting in a depression in the nail that gives an appearance of a spoon shape to the entire nail. This growth disturbance in the nail is medically known as koilonychia.
Why do fingernails Bend?
Nails that curve at the tips This involves the thickening of the tissue underneath the nail, causing the fingertips to become rounded and the nails to curve over them. Doctors believe this results from increased blood flow to the fingertips.
How is koilonychia diagnosed?
Flat nails can be an early sign of koilonychia. Nails tend to flatten before developing the characteristic concave shape. Most nails curve down and are convex. When the nails become concave, people sometimes describe it as being able to hold a drop of water on the top of their nail.
What causes a spoon shaped nail in iron deficiency?
Koilonychia in iron deficiency. 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. 1 Koilonychia occurs in 5.4% of the patients with iron deficiency.
What is the pathophysiology of iron deficiency anemia?
Pathophysiology: IDA is a hypochromic-microcytic anemia – red blood cells (RBCs) are abnormally small with low levels of hemoglobin (hgb) Despite the cause, IDA occurs when the body’s iron demand exceeds that of it’s supply Two types: iron store depletion vs. metabolic/functional
How long is iron replacement therapy for koilonychia?
Patient was advised another 2 months of oral iron replacement therapy. Koilonychia (spoon-shaped nail) can be hereditary, acquired or idiopathic.
What foods can cause iron deficiency anemia ( IDA )?
How quickly IDA develops depends on cause, but develops in three stages Diets low in meat, fish, beans, or iron-fortified foods – commonly seen with vegetarians or individuals living in poverty Mechanism – depleting iron stores faster than replacing combined while increasing body’s demand for iron