Question

The fingernails on part of the child’s hands (two on each hand) are indented in a spoon-like shape, while the toenails are completely normal. I would like to ask the experts if this is a problem?

Answer

Based on your description of the symptoms, the current nail indentations may indicate a deficiency in calcium, protein, and sulfur in the body. These nutrients can be obtained from eggs and garlic, and it is advisable to consume them regularly. However, it’s important to note that nail indentations can also be seen in changes due to diseases. It is recommended to consult a doctor for an examination promptly. 80% of patients with psoriatic arthritis have nail changes, especially in the distal interphalangeal joints. When the changes are mild, they may only present as pinpoint indentations, nail thickening, loss of luster, transverse or longitudinal ridges on the surface, and often nail thickening. In severe cases, nail detachment can occur. Additionally, nail indentations can also be seen in symptoms of iron-deficiency anemia. Anemia patients may have pale fingernails with a concave center and the entire nail becomes flat or spoon-shaped. To observe for anemia, it is best to look at the color of the blood, choosing the thinnest part of the skin. Look at the lips first – lips are red in non-anemic individuals, while anemic individuals appear pale. Look at the nails as well – they are semi-transparent and are also good areas to observe for anemia.