de Berker David
Bristol Dermatology Centre, Bristol Royal Infirmary, Bristol BS2 8HW, UK.
Dermatol Clin. 2006 Jul;24(3):355-63. doi: 10.1016/j.det.2006.03.003.
The diagnosis of pediatric nail populations is complicated because a large proportion of pediatric nail presentations involve parents bringing in their children with questions regarding nail appearance rather than the plain presentation of a disease or functional problem. Parents are concerned whether the nails are normal, if they are uncomfortable for the baby or child, if the nails will affect walking or other future function, or if the changes are of wider significance and suggest more sinister medical problems than are yet apparent. To address these concerns, the clinician needs a good grasp of what is normal.
小儿指甲问题的诊断较为复杂，因为很大一部分小儿指甲问题是家长带着孩子前来，询问有关指甲外观的问题，而非单纯表现为疾病或功能问题。家长关心指甲是否正常，是否会让婴儿或儿童感到不适，是否会影响行走或未来的其他功能，或者这些变化是否具有更广泛的意义，是否暗示着比目前明显的情况更严重的医学问题。为了解决这些担忧，临床医生需要充分了解什么是正常情况。
