Case 1

Describe the nails. What does the appearance of  nail suggest to you?

Answer

 

 

 

Image contributed by Dr Harry Messmore

 

 

 

Case 1  answer (Nail)

The nails are concave  with longitudinal ridges. It is called Kiolonychia.

The nail changes are typical of chronic Iron deficiency anemia. They are brittle and break easily.

Select the next Case