Nail Disorders in Children, a clinical study

Akbaş, Ayşe; Kılınç, Fadime; Yakut, Halil İbrahim; Metin, Ahmet

doi:10.7241/ourd.20162.41

Cited by 6 publications

(6 citation statements)

References 9 publications

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“…This may be due to different ethnical, environmental and sociocultural factors, but more than these probably because of the differences between designs of the studies, the abnormalities considered and the population evaluated in the studies. Since the studies regarding prevalence or rate of nail abnormalities in children were often retrospective evaluations nail alterations which are of little clinical significance may not be considered or recorded (2,6). For instance, leukonychia which was the most common nail abnormality in our study, was either not recorded in any patients or was noted in very few patients in some of those studies and this was similar for some other abnormalities like transverse or longitudinal ridges (2,6).…”

Section: Discussionsupporting

confidence: 67%

“…Since the studies regarding prevalence or rate of nail abnormalities in children were often retrospective evaluations nail alterations which are of little clinical significance may not be considered or recorded (2,6). For instance, leukonychia which was the most common nail abnormality in our study, was either not recorded in any patients or was noted in very few patients in some of those studies and this was similar for some other abnormalities like transverse or longitudinal ridges (2,6). As our study was not a population-based study, our results can not be generalized to the whole pediatric population.…”

Section: Discussionmentioning

confidence: 99%

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Frequency of Nail Abnormalities in Children and Adolescents Admitted to a Dermatology Outpatient Clinic

Akbayrak¹,

Kasap²,

Takçı³

et al. 2021

jpr

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The incidence and spectrum of nail abnormalities in children differ from adults. The aim of this study is to investigate the frequency and spectrum of the nail abnormalities in children and adolescents admitted to a dermatology outpatient clinic. Materials and Methods: This cross-sectional study included 600 patients under the age of 18 who admitted to a dermatology outpatient clinic with any dermatological complaint between March and May 2018. Results: In the study, among 600 patients; 325 (54.16%) were female and 275 (45.84%) were male. The mean age was 9.18 ± 5.12 years (1 month to 17 years). Nail abnormalities were present in 226 patients of whom 131 (58%) were female and 95 (42%) were male. The rate of nail abnormalities was 37.66% (226/600) among the study group. The number of nail abnormalities detected was 288 and the number of abnormality types was 23. The most common group of nail abnormalities were surface (18.16%) and color (16.50%) changes. The most common nail abnormalities were leukonychia (16.50%), onychoschizia (6.5%), and onychophagia / onychotillomania (6.5%). The fingernail abnormalities were significantly higher in males than females. Leukonychia and onychophagia / onychotillomania were significantly higher in males than females. The rate of patients admitted with ungual complaints among the patients with nail abnormalities was 10.61% (24/226). Conclusion: Nail abnormalities are very common in childhood. Although patients do not have a primary complaint, evaluation of the nails during physical examination may prevent the occurence of permanent damage to the nails and spread of the infectious diseases of the nails.

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Section: Discussionsupporting

confidence: 67%

Section: Discussionmentioning

confidence: 99%

Frequency of Nail Abnormalities in Children and Adolescents Admitted to a Dermatology Outpatient Clinic

Akbayrak¹,

Kasap²,

Takçı³

et al. 2021

jpr

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“…A study from Taiwan reported that the incidence of onychomadesis in children with hand-foot-mouth disease was 5% [4,5]. This complication is considered even epidemic in Taiwan [2,6].…”

Section: Discussionmentioning

confidence: 99%

Onychomadesis in children: think about a late complication of hand-foot-mouth disease

Zaouak¹,

Bouhajja²,

Fenniche³

2020

Our Dermatol Online

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Hand foot mouth disease (HFMD) is considered to be the most common infectious disease in association with onychomadesis. Coxsackie A6 may be the major subtype associated with onychomadesis after HFMD. A 2-yearold female child was referred to our department for an acute vesiculobullous eruption since two days with fever. Dermatological examination revealed a vesiculobullous eruption located on her hands and on her feet. Two months later she consulted for changes of her finger nails which appeared since 3 weeks. Her parents denied a nail trauma or fungal infection. The diagnosis of onychomadesis secondary to this HFMD was diagnosed. Physical examination revealed nail matrix arrest on her right index and right middle finger. The nail changes healed spontaneously without medication within two months. Practioners should be aware of this late complication to avoid unnecessary treatments and to recommend a simple follow-up.

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“…Dermoscopic examination has gained preference and is now a routine method for examining pediatric nail findings [8]. Clinically the most common nail findings are pitting, hyperkeratosis, splinter haemorrhages, oil drops, longitudinal grooves, leukonychia, and onychoschizia [9]. On the other hand, the most common dermoscopic features of nails have been reported in a limited number of studies, most of which have been performed in the adult population [9][10][11][12][13][14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

“…Clinically the most common nail findings are pitting, hyperkeratosis, splinter haemorrhages, oil drops, longitudinal grooves, leukonychia, and onychoschizia [9]. On the other hand, the most common dermoscopic features of nails have been reported in a limited number of studies, most of which have been performed in the adult population [9][10][11][12][13][14][15][16][17]. In this research, we aimed to evaluate and describe dermoscopic findings of nail disorders in children.…”

Section: Introductionmentioning

confidence: 99%

Dermoscopic Nail Disorders in School-Going Children

Zahoor¹,

Bari²,

Ahmed³

et al. 2023

Cureus

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The majority of nail diseases in children are comparable to those in adults, while there are some physiological changes that start to happen around this age and go away over a few years. These conditions could be symptoms of infections and systemic illnesses. Pediatric nail disorders are typically easy to diagnose clinically, although there are occasionally conditions that masquerade as juvenile nail problems. Dermoscopy has grown in favour as a rapid, easy, non-invasive clinical procedure for examining nail diseases. This study aims to assess dermoscopic findings of child nail diseases. MethodsA prospective analysis was conducted for seven months between January and July, 2022, at PNS Shifa Hospital, Karachi, Pakistan. A total of 180 patients who presented in the outpatient department with any dermatological complaint underwent thorough history and examination. Special emphasis was given to clinical and dermoscopic examinations of nails. Data analysis enclosed descriptive and inferential statistics. The quantitative data was presented with help of mean and standard deviation, while the qualitative data was presented with help of frequency and percentage tables. Chi-square test was applied to compare nail findings diagnosed on clinical examination and dermoscopic examination. ResultsThe mean age of study subjects was 9.4±3.2 years and ranged between five years and 18 years. The most common nail changes were hand eczema (n=41, 23%) followed by nail changes due to nutritional disorders (n=38, 21%), anaemia (n=34, 19%) and habit tic deformity (n=31, 17.2%). ConclusionsClinical evaluation is crucial for nail disease diagnosis. Dermoscopy of nails can help with the final diagnosis of nail disease and confirm clinical diagnoses. Also, it aids in the management of nail illnesses by providing a clearer picture of pathology and nail structure.

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Nail Disorders in Children, a clinical study

Cited by 6 publications

References 9 publications

Frequency of Nail Abnormalities in Children and Adolescents Admitted to a Dermatology Outpatient Clinic

Frequency of Nail Abnormalities in Children and Adolescents Admitted to a Dermatology Outpatient Clinic

Onychomadesis in children: think about a late complication of hand-foot-mouth disease

Dermoscopic Nail Disorders in School-Going Children

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