Background: 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. It is therefore important to elucidate the presentation of this entity, especially in the context of the hand- foot-mouth disease. Case presentation: We 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. Conclusions: This 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’sparents. Keywords: HFMD, Onychomadesis, Nail shedding, Infectious diseases, Dermatology Background et al. suggest that periungual inflammation secondary Onychomadesis, characterized by shedding of nails to viral infection may be induced directly by viruses or from the proximal nail beds, is often idiopathic, but can indirectly by immunocomplexes and consequent distal also be linked to certain medications, systemic illnesses, embolism , while Cabrerizo et al. consider that the and viral infections including hand-foot-mouth disease nail matrix is directly damaged by
International Journal of Emergency Medicine – Springer Journals
Published: Aug 14, 2017
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