Related Experiment Videos
Pincer nail deformity after Kawasaki's disease
S L Vanderhooft1, J E Vanderhooft
1Department of Dermatology, University of Utah Health Sciences Center, Sal Lake City, USA.
Journal of the American Academy of Dermatology
|July 30, 1999
Summary
Pincer nail deformity in infants can spontaneously resolve without intervention. This case highlights that acquired pincer nails associated with Kawasaki disease may not require surgical treatment.
Area of Science:
- Pediatrics
- Dermatology
- Rheumatology
Background:
- Kawasaki disease is a pediatric vasculitis that can affect various organ systems.
- Nail changes, including Beau's lines and onychomadesis, are common in Kawasaki disease.
- Acquired pincer nails are a rare nail dystrophy characterized by transverse over-curving of the nail plate.
Observation:
- A case of acquired pincer nails in an infant diagnosed with Kawasaki disease is presented.
- The pincer nail deformity was noted in the absence of pain or discomfort for the infant.
- Conservative management was chosen due to the lack of symptoms.
Findings:
- The pincer nail deformity in this infant with Kawasaki disease showed spontaneous resolution.
- The nail dystrophy resolved as the affected nails grew out.
- No medical intervention was required for the nail condition.
Implications:
- This case suggests that acquired pincer nails in infants with Kawasaki disease may be self-limiting.
- It underscores the importance of assessing for pain and functional impairment before considering surgical intervention for nail deformities.
- Conservative management can be a viable option for resolving pincer nail deformities in pediatric cases associated with Kawasaki disease.