Tim is a 35 year old IT worker with a history of coeliac, poor nutritional intake and iron deficiency who presents with spoon-shaped nails to your practice.

What are the causes of spoon nails – koilonychia?

• Idiopathic
• Hereditary
• Trauma
• Iron deficiency
• Haemochromatosis

Reading

1. Murtaghs General Practice Chapter 129 – http://murtagh.mhmedical.com/content.aspx?bookid=1522&sectionid=116046129
2. Murtaghs Practice Tips – Chapter 8 – Nail Problems – http://murtagh.mhmedical.com/content.aspx?bookid=1920&sectionid=143276631

Podcast

1. GP Core Content Podcast Episode 150 – Dermatology | Nails