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The determination of Beau’s lines may betoken previous strict illness, trauma, or exposure to cold temperatures in patients with Raynaud’s disease. In the want of trauma or psoriasis, onychosis should prompt a investigation for symptoms of hyperthyroidism. Koilonychia, or “spoon-shaped” nails, may arouse a work-up for hemochromatosis or anemia.
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Nail Abnormalities: Clues to Systemic Disease - American Family Physician