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Childhood nail alterations in Polish population
Michał Sobjanek1, Igor Michajłowski, Monika Konczalska
1Department of Dermatology, Venereology and Allergology, Medical University of Gdańsk, Gdańsk, Poland. sobjanek@wp.pl
Acta Dermatovenerologica Croatica : ADC
|June 26, 2012
Summary
Childhood nail conditions differ from adult nail pathology. Viral warts are common in children, while fungal infections (onychomycosis) are more prevalent in adults, with tumors being rare.
Area of Science:
- Dermatology
- Pediatrics
- Epidemiology
Background:
- The epidemiology of childhood nail apparatus pathology requires further investigation.
- Understanding nail alterations in pediatric populations is crucial for accurate diagnosis and treatment.
Purpose of the Study:
- To investigate the frequency and nature of nail alterations in Polish pediatric patients.
- To compare the distribution of specific nail pathologies between children and adults.
Main Methods:
- Retrospective analysis of 1588 patients treated for nail alterations.
- Selection of 82 pediatric patients under 16 years of age for detailed study.
- Statistical comparison of nail pathology distribution in children versus adults.
Main Results:
- Variants of normal nails were the most frequent diagnosis (36.59%) in children.
- Viral warts were the most common pathology (19.51%), significantly more frequent in children than adults.
- Onychomycosis was significantly more prevalent in adults (60.39%) compared to children (9.76%).
- Melanonychia was rare (1.22%), and no tumors were observed in the pediatric group.
Conclusions:
- Nail apparatus pathology distribution in children differs significantly from adults.
- Younger children (<6 years) predominantly presented with normal nail variants, while older children showed more viral infections and structural disorders.
- The risk of nail apparatus malignancy in childhood is extremely low.
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