What effects does iron deficiency anemia have on the nails?

Aug 24, 2022 Source: Cainiu Health
Disease description:

My younger aunt has pale nails, shortness of breath, fatigue, and palpitations, and was diagnosed with iron deficiency anemia. How does iron deficiency anemia affect the nails?

Doctor's answer (1)
Dr. Li Man
Iron deficiency anemia may cause nails to become pale, spoon-shaped (koilonychia), and thinner. These nail changes are primarily due to iron deficiency. Anemia is mainly characterized by decreased hemoglobin levels, which may clinically result in inadequate oxygen supply. Patients with anemia often experience generalized weakness and pallor. In addition, the nails are typically pale.