Spoon Nails
- PMID: 32644737
- Bookshelf ID: NBK559311
Spoon Nails
Excerpt
The term “koilonychia” is derived from the Greek word ‘koilos’ which means ‘hollow’ and ‘onikh’ means ‘nail’. This abnormality of the nails is also called as spoon-shaped (concave) nails. The nail abnormality is characterized by thin, brittle, concave nail dystrophy either placed horizontally or vertically, where the finger or toenail plate seems to be centrally depressed and everted laterally. It can be found in newborns, children, and adults. When a patient presents with this symptom, it is imperative to look into further to see if there are more serious health concerns that may be present.
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Sections
- Continuing Education Activity
- Introduction
- Etiology
- Epidemiology
- Pathophysiology
- Histopathology
- History and Physical
- Evaluation
- Treatment / Management
- Differential Diagnosis
- Pertinent Studies and Ongoing Trials
- Treatment Planning
- Staging
- Prognosis
- Complications
- Consultations
- Deterrence and Patient Education
- Pearls and Other Issues
- Enhancing Healthcare Team Outcomes
- Review Questions
- References
References
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- Walker J, Baran R, Vélez N, Jellinek N. Koilonychia: an update on pathophysiology, differential diagnosis and clinical relevance. J Eur Acad Dermatol Venereol. 2016 Nov;30(11):1985-1991. - PubMed
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- JALILI MA, AL-KASSAB S. Koilonychia and cystine content of nails. Lancet. 1959 Aug 15;2(7094):108-10. - PubMed
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- Stone OJ. Clubbing and koilonychia. Dermatol Clin. 1985 Jul;3(3):485-90. - PubMed
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- STONE OJ, MABERRY JD. SPOON NAILS AND CLUBBING. REVIEW AND POSSIBLE STRUCTURAL MECHANISMS. Tex State J Med. 1965 Aug;61:620-7. - PubMed
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- Chelidze K, Lipner SR. The water-drop test for the diagnosis of koilonychia. J Am Acad Dermatol. 2017 Dec;77(6):e157-e158. - PubMed
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