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Koilonychia , also known as spoon nails,:782 is a nail disease that can be a sign of hypochromic anemia, especially iron-deficiency anemia.:656 " It refers to abnormally thin nails which have lost their convexity, becoming flat or even concave in shape. In a sense, koilonychia is the opposite of nail clubbing. In early stages nails may be brittle and chip or break easily.