Unusual nail alterations in a child: a consequence of a common infection (a case report)

Introduction: Onychomadesis refers to the proximal separation of nail plate from matrix following a temporary arrest in formation, leading shedding. While it can be consequence multiple aetiologies, is uncommon childhood. To our knowledge, this first case reporting association between onychomadesis and hand-foot-and-mouth disease context primary health care Portugal. Case description: A previously healthy 21-month-old male child, otherwise asymptomatic except for fingernail alterations, was diagnosed with four weeks before changes. Comment: Beau’s lines are late complications disease. Clinicians must invest proper detailed patients medical history assess recent viral infections. On other hand, knowledge probable indicators itself may avoid inadequate investigations, referrals, treatments. Furthermore, advising reassuring patients/parents/caregivers about possible alterations also prevent unnecessary concerns.