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


Photo from reference 1

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

Onychomadesis+post+HFMDFrom: Onychomadesis: A common sequalae and concern for patients after Hand Foot and Mouth Disease:  Pediatric Infectious Disease Blog.

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