Thanks for query.Your sister is probably suffering from a systemic problem of infectious or autoimmune pathology.all the symptoms like joint pains associated with rashes,madarosis(loss of eye lashes) nail bed seperation are suggestive of such diseases.it it better to consult a dermatologist and if required a rheumatologist.regards

Hi,

I can understand concerns for the hair loss, falling of eye brows, nails separating from nail beds and extreme joint pain your sister.

All of the above symptoms indicate towards an internal systemic problem which your sister might be suffering from. I suggests you to go for all the blood investigations including routine counts and serum biochemistry including blood sugar, renal profile and liver profile along with serum thyroid level.

It can be due to multiple factors including hormones, diet and nutritional deficiency and stress.

You can give vitamins in the form of biotin, calicium pantothenate and other vitamin B complexes.

Additionally increase her protein intake on daily basis and eat sprouts. Eat a lot of green leafy vegetables and sprouts which contains vitamins and minerals necessary for normal hair function.

You can meet a physician to get best possible cause and accordingly treatment for your sister.

Best wishes for early recovery of your sister.

Take care.