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Alopecia universalis with twenty-nail dystrophy (trachyonychia). JCAD on X: “#Koilonychia, or “spoon nails,” is rarely reported in association with #Alopecia areata (AA) in literature. Here, researchers studied a female patient with both conditions and found that koilonychia regressed. Fingernail streaks | MDedge Family Medicine. Alopecia areata may involve hair and nails. | Download Scientific Diagram. What Your Fingernails Say About Your Health