Abstract
BackgroundNail abnormalities in childhood are generally uncommon. Recently, onychomadesis is described as a rare, late complication of hand-foot-mouth disease, which is a viral illness commonly seen in the pediatric age group. It is therefore important to elucidate the presentation of this entity, especially in the context of the hand-foot-mouth disease.Case presentationWe report a case of onychomadesis in a 9-month old Lebanese boy who presented to the emergency department with rapidly progressing nail changes involving all four extremities. These changes appeared few days after the healing of cutaneous lesions of hand-foot-mouth disease.ConclusionsThis case highlights the importance of recognizing the association between onychomadesis and hand-foot-mouth disease in order to avoid unnecessary treatment and to reassure the patient’s parents.
Highlights
Nail abnormalities in childhood are generally uncommon
This case highlights the importance of recognizing the association between onychomadesis and handfoot-mouth disease in order to avoid unnecessary treatment and to reassure the patient’s parents
The mechanism of onychomadesis remains to be elucidated, onychomadesis usually implies that nail matrix proliferation was temporarily inhibited
Summary
Nail abnormalities in childhood are generally uncommon. Recently, onychomadesis is described as a rare, late complication of hand-foot-mouth disease, which is a viral illness commonly seen in the pediatric age group. Conclusions: This case highlights the importance of recognizing the association between onychomadesis and handfoot-mouth disease in order to avoid unnecessary treatment and to reassure the patient’s parents. Background Onychomadesis, characterized by shedding of nails from the proximal nail beds, is often idiopathic, but can be linked to certain medications, systemic illnesses, and viral infections including hand-foot-mouth disease (HFMD). HFMD is a common contagious disease, affecting mainly children under the age of 10, and reported in adults [1].
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