Iorizzo Matilde, Lipner Shari, Vlahovic Tracey C
Private Dermatology Practice, Viale Stazione 16, 6500, Bellinzona, Switzerland.
Department of Dermatology, Weill Cornell Medicine, New York, NY, USA.
Eur J Pediatr. 2017 Aug;176(8):1089-1091. doi: 10.1007/s00431-017-2941-9. Epub 2017 Jul 3.
Correct diagnosis of nail disorders could be difficult for a non-trained eye, especially in children. For this reason, sometimes, probative diagnosis and treatment are the outcome of a consultation. This paper wants to underline how podiatric abnormalities should be considered possible causes of nail disorders in children and how they need an appropriate, most of the time non-medical, treatment in order to avoid future complications.
Physicians should be aware of this possibility and refer these patients to a dermatologist or a podiatrist for a correct management. What is known: • Diagnosis and treatment of nail disorders in children could be difficult. • Differential diagnosis should be as much accurate as possible in order to avoid unnecessary and possible harmful treatments. What is new: • Podiatric abnormalities should not be underestimated. • Podiatric abnormalities should be considered as potential causes of nail abnormalities in children.
对于未经训练的人来说，正确诊断指甲疾病可能很困难，尤其是在儿童中。因此，有时，试探性诊断和治疗是会诊的结果。本文旨在强调足部异常应如何被视为儿童指甲疾病的可能原因，以及它们如何需要适当的、大多数情况下非医学的治疗，以避免未来的并发症。
医生应意识到这种可能性，并将这些患者转诊给皮肤科医生或足病医生进行正确的管理。已知信息：• 儿童指甲疾病的诊断和治疗可能很困难。• 鉴别诊断应尽可能准确，以避免不必要的和可能有害的治疗。新信息：• 足部异常不应被低估。• 足部异常应被视为儿童指甲异常的潜在原因。
