3 of 7 Spoon nails. Spoon nails (koilonychia) are soft nails that look scooped out. The depression usually is large enough to hold a drop of liquid. Often, spoon nails are a sign of iron deficiency anemia or a liver condition known as hemochromatosis, in which your body absorbs too much iron from the food you eat.
It results from malnutrition or chronic blood loss. Pathogenesis of koilonychia is not clear but may be related to reduced iron in iron‐containing enzymes in epithelial cells or poor blood flow with subsequent weakening and depression of underlying nail‐connective tissue 3.
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.
2 Nail changes in vitamin B12 deficiency present as hyperpigmentation of nails like bluish discoloration of nails, blue-black pigmentation with dark longitudinal streaks, and longitudinal and reticulate darkened streaks. The nail pigmentation associated with B12 deficiency is more frequent in patients with dark skin.
Nail clubbing is when a nail curves under at the tip of the finger. It could indicate heart disease, inflammatory bowel disease, lung disease, liver disease, thyroid disease, or HIV/AIDS.
Extreme fatigue. Weakness. Pale skin. Chest pain, fast heartbeat or shortness of breath.
Your body relies on iron to make hemoglobin, so when iron is low, you can become anemic. Your cells don't receive enough oxygen, and you feel tired. “The most frequent symptom of iron-deficiency anemia is fatigue,” says Kathryn Boling, MD, a family doctor at Mercy Medical Center in Baltimore.
Iron deficiency koilonychia is usually reversible by replenishing the body's iron supply through supplements or an iron-rich diet. After 4–6 months of iron repletion, the spoon-shaped nails typically return to normal. However, whether the condition is reversible or not depends on the cause.
Terry's nails is a type of nail discoloration. The nailbeds look “washed out,” except for a thin reddish-brown strip near the tip. Often, Terry's nails is a symptom of a chronic condition, such as liver failure or diabetes. Sometimes, it is a sign of aging.
- A deficiency in B-complex vitamins, especially biotin, will produce ridges along the nail bed. - A diet lacking in calcium contributes to dry, brittle nails. - A lack of folic acid and vitamin C can lead to hangnails. - Insufficient dietary essential oils, like omega-3, cause cracking.
If your nails are peeling, brittle, or have vertical ridges, you may be vitamin D deficient. Dubbed “the sunshine vitamin,” one of the best sources is sunlight. It can also be found in fatty fish, beef, liver, egg yolk, and fortified dairy, orange juice, and cereals.
B12 is also essential for keeping nails strong and healthy. B12 specificially enables iron to be absorbed by the body, ensuring the formation of enough red blood cells. Low iron levels or anaemia can directly affect nail health – in fact it's a classic symptom – making them white, thin and prone to breakage.
Extreme fatigue and exhaustion “Fatigue is one of the most common signs of iron deficiency because it means your body is having trouble carrying the oxygen to your cells so it's affecting your energy levels,” Thayer says. People lacking enough iron in their blood often feel sluggish, weak, and unable to focus.
Fatigue. Tiring easily, and waking up tired even after a good night's sleep, are common and potentially serious symptoms of anemia. This is due to reduced and compromised red blood cells that naturally cannot carry the required levels of oxygen to the organs – which, in turn, cannot function efficiently.
You may also find that low iron causes weight gain. There are a couple of reasons for this; firstly, your energy levels are low and so your exercise levels reduce; secondly, iron is essential for thyroid function, and an underactive thyroid will lead to weight gain.
Eye symptoms of low iron can include a pale coloring of the inside of the lower eyelids. In moderate or severe cases of iron deficiency anemia, the inside layer of the lower eyelid is very pale pink or yellow instead of red. Rather than low iron, one common cause of blurry vision is dry eye.
Your body needs iron to make hemoglobin. Hemoglobin is an iron-rich protein that gives the red color to blood. It carries oxygen from the lungs to the rest of the body. Anemia has three main causes: blood loss, lack of red blood cell production, and high rates of red blood cell destruction.
Chest pain, chest tightness, chest pressure and chest discomfort (angina) Shortness of breath. Pain in the neck, jaw, throat, upper belly area or back. Pain, numbness, weakness or coldness in the legs or arms if the blood vessels in those body areas are narrowed.