Nailing Down a Diagnosis

Onychomadesis is the spontaneous, complete shedding of the nail from its proximal side, without pain or inflammation, following nail matrix arrest. Brian Maurer, a pediatric practitioner, recently saw a 5-year-old boy with a two-week history of nail shedding.  The child had antecedent Hand, Foot and Mouth disease.  Nail shedding has been described as a sequela to HFM Disease. To access Mr. Maurer’s excellent case report please click “HFM Nails” References: 1. A Clinical Study of Nail Changes Occurring Secondary to Hand-Foot-Mouth Disease: Onychomadesis and Beau’s Lines.  Shin JY, Cho BK, Park HJ.  Ann Dermatol. 2014 Apr;26(2):280-3.  Free Open Access 2. From: Onychomadesis: A common sequalae and concern for patients after … Continue reading

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