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In a sense, koilonychia is the opposite of nail clubbing.
The condition is associated with koilonychia, glossitis, cheilitis, and splenomegaly.
Tooth and nail syndrome (also known as "Hypodontia with nail dysgenesis," and "Witkop syndrome") is a rare disorder, first described in 1965, characterized by nails that are thin, small, and friable, and which may show koilonychia at birth.