Leung Alexander K C, Leong Kin Fon, Lam Joseph M
Clinical Professor of Pediatrics at The University of Calgary, Calgary, Alberta, Canada T2M 0H5.
Pediatric Consultant at The Alberta Children's Hospital, Calgary, Alberta, Canada T2M 0H5.
Case Rep Pediatr. 2019 Mar 3;2019:3156736. doi: 10.1155/2019/3156736. eCollection 2019.
Kawasaki disease is characterized by fever for ≥ five days, bilateral bulbar conjunctival injection without exudate, polymorphous rash changes in the extremities, oral mucosal changes, and cervical lymphadenopathy. We report a 20-month-old boy with Kawasaki disease who had onychomadesis affecting the fingernails and toenails bilaterally. To our knowledge, there were three reported cases of onychomadesis associated with Kawasaki disease, to which we add another one. We suggest keeping in mind the possibility of onychomadesis as a nail sequela of Kawasaki disease.
川崎病的特征为发热≥5天、双侧球结膜充血无渗出、四肢多形性皮疹改变、口腔黏膜改变以及颈部淋巴结肿大。我们报告一名20个月大患川崎病的男孩，其双侧手指甲和脚趾甲均出现甲脱落。据我们所知，此前有3例关于川崎病相关甲脱落的报道，在此我们补充另外1例。我们建议应记住甲脱落作为川崎病指甲后遗症的可能性。
