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The finding of Beau’s lines may inform past severe illness, trauma, or exposure to arctic temperatures in patients with Raynaud’s disease. In the absence of unhealthiness or psoriasis, onycholysis should prompt a search for symptoms of hyperthyroidism. Koilonychia, or “spoon-shaped” nails, may impact a work-up for hemochromatosis or anemia.
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Nail Abnormalities: Clues to Systemic Disease - American Family Physician