Plummer-Vinson syndrome - Nail and Distal Digit
See also in: Oral Mucosal LesionSynopsis

Patients typically complain of a burning sensation of the oral mucosa, resulting in intolerance to dentures. Clinical findings include angular cheilitis and marked atrophy of lingual papillae producing a smooth, red appearance. Systemic features include dysphagia due to esophageal webs or strictures, koilonychia, and brittle nails. Fatigue, shortness of breath and weakness are characteristic symptoms of the iron-deficiency anemia.
Risk factors include iron-deficiency anemia in women of Northern European descent. The process evolves slowly and is progressive unless treated.
Codes
D50.1 – Sideropenic dysphagia
SNOMEDCT:
80126007 – Plummer-Vinson syndrome
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