Kumar Radha, Mujibur Rahman Ashikabanu, Umapathy Navin, Kumar Shami, Azhagar Nambi Santhi Vaanmathi
Paediatrics, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.
Cureus. 2024 Sep 23;16(9):e70037. doi: 10.7759/cureus.70037. eCollection 2024 Sep.
In children, nail diseases can be either congenital or acquired, with an occurrence rate of 3 to 11% in the pediatric population. In both fingers and toes, rough, accentuated linear ridges of the nails are referred to as trachyonychia. This condition most commonly occurs in childhood, with a higher prevalence in males. Twenty-nail dystrophy refers to a disorder affecting all twenty nails. While the cause is idiopathic, it may also be associated with other dermatological conditions. The disorder typically affects the nails on both hands and feet in a bilateral and symmetrical pattern. The primary concern for the child is usually cosmetic disfigurement, requiring regular follow-up and long-term care. In this case report, we describe a 10-year-old boy who presented with a six-year history of twenty-nail dystrophy, with no significant family history of skin or nail diseases. The child exhibited no other symptoms aside from alopecia areata. This condition is self-limiting and is managed symptomatically. This case report aims to highlight the importance of physical examination in the early diagnosis and treatment of nail disorders.
在儿童中，指甲疾病可以是先天性的或后天获得的，在儿科人群中的发生率为3%至11%。在手指和脚趾上，指甲粗糙、明显的线状嵴被称为糙甲症。这种情况最常见于儿童期，男性患病率较高。二十甲营养不良是指一种影响所有二十个指甲的疾病。虽然病因不明，但也可能与其他皮肤病有关。该疾病通常以双侧对称的方式影响双手和双脚的指甲。对儿童来说，主要问题通常是外观受损，需要定期随访和长期护理。在本病例报告中，我们描述了一名10岁男孩，他有六年的二十甲营养不良病史，没有明显的皮肤或指甲疾病家族史。除斑秃外，该儿童没有其他症状。这种情况是自限性的，通过对症治疗。本病例报告旨在强调体格检查在指甲疾病早期诊断和治疗中的重要性。
