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Shedding light on onychomadesis.
Fernanda Salgado1, Marc Z Handler2, Robert A Schwartz3
1Rutgers University New Jersey Medical School, Newark, USA.
Cutis
|February 17, 2017
Summary
Onychomadesis, a nail separation condition in children, often follows viral illnesses like hand-foot-and-mouth disease. This temporary nail growth cessation typically resolves within 12 weeks with supportive care.
Area of Science:
- Pediatric Dermatology
- Nail Disorders
Background:
- Onychomadesis is proximal nail plate separation from the nail matrix due to temporary growth cessation.
- It affects children of all ages, including neonates.
Purpose of the Study:
- To describe the causes of onychomadesis.
- To explore the connection between hand-foot-and-mouth disease (HFMD) and onychomadesis.
- To investigate potential mechanisms of onychomadesis.
Main Methods:
- Clinical diagnosis via palpation and inspection.
- Review of patient history for preceding viral illnesses (1-2 months prior).
Main Results:
- Onychomadesis is frequently associated with viral illnesses, notably HFMD.
- The condition is typically mild and self-limited.
- Spontaneous nail regrowth usually occurs within 12 weeks.
Conclusions:
- Physicians should consider underlying viral causes for onychomadesis.
- Management is conservative, focusing on underlying causes and supportive care.
- The precise mechanism of onychomadesis requires further investigation.
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