A healthy nail has a specific shape slightly raised in the middle, then curving down a bit at the tip. So when you see a nail with the exact opposite configuration, that should be a clue that all is not right, "it's called a spoon shaped nail, and it's a symptom of iron deficiency anemia," says Dr. D'Anne Kleinsmith, a spokeperson for the American Dermatological Society.
As with many health problems, it can take months of iron deficiency before the problem shows up in the nails. And when the anemia is corrected, it will take awhile for normal shaped nails to re grow. Search for images of spoon shaped nails.
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