Interesting nail finding

I was teaching at the residency program this week and had an interesting nail finding in a child. The girl had a rash 2 months before on her hands and feet and then all of her fingernails started peeling. She otherwise was in good health and felt fine.

What was it? It is called onychomadesis. It can happen 1-2 months after hand-foot-mouth viral illness caused by the Coxsackie virus. The nail plate separates from the nail bed. This makes it look like the nails are peeling. Normal nail growth occurs within 1-4 months and will resolve without any assistance.

I’m glad we could put the patient and the parent’s mind to rest. Reassuring them that this was a normal process was all that was needed.

About drlesliegreenberg

I have been practicing as a family physician for over 20 years--as both an educator of physicians and clinician. From infancy to the elderly, I perform obstetrics and general medicine. I love my career and am passionate about my field of knowledge and my patients. Follow me on Facebook at Leslie Md Greenberg Medical Disclaimer The content of this website is provided for general informational purposes only and is not intended as, nor should it be considered a substitute for, professional medical advice. Do not use the information on this website for diagnosing or treating any medical or health condition. If you have or suspect you have a medical problem, promptly contact your professional healthcare provider.
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