Mortada Ibrahim, Mortada Rola, Al Bazzal Mohamad
Independent Consultant, Beirut, Lebanon.
Int J Emerg Med. 2017 Aug 14;10(1):26. doi: 10.1186/s12245-017-0152-9.
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.
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.
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's parents.
儿童指甲异常通常并不常见。最近，甲脱离被描述为手足口病一种罕见的晚期并发症，手足口病是儿科年龄组常见的病毒性疾病。因此，阐明这种情况的表现很重要，特别是在手足口病的背景下。
我们报告一例9个月大的黎巴嫩男孩发生甲脱离的病例，该男孩因累及四肢的指甲迅速变化而到急诊科就诊。这些变化在手、足、口病皮肤病变愈合几天后出现。
该病例强调了认识甲脱离与手足口病之间关联的重要性，以便避免不必要的治疗并使患儿家长放心。
