Onychomadesis: literature review

Hardin, Jori; Haber, Richard M.

doi:10.1111/bjd.13339

Cited by 97 publications

(109 citation statements)

References 37 publications

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“…It is linked to a temporary cessation in matrix growth because of a systemic shock like a thermal peak. In children, it is often associated with hand, foot and mouth disease . In our series, this condition was observed especially in the [2 to <6 years old] age group.…”

Section: Discussionsupporting

confidence: 91%

Paediatric nail consultation in an academic centre in Belgium: a 10‐year retrospective study

Tasia

Lê

Richert

et al. 2019

Acad Dermatol Venereol

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Background Very few studies have been conducted to establish the nature and prevalence of nail disorders in children. Objectives To determine the frequency of various nail conditions in the paediatric setting and to report their management and follow‐up. Methods This was a retrospective study between 2007 and 2017 of children under 18. All the patients were evaluated in our paediatric nail clinic at the dermatology department of Queen Fabiola Children's University Hospital. The data were synthesized from information obtained through medical records as well as from photographs taken during consultation. Follow‐up was completed by phone interview. Results Three hundred and one patients were included. The majority of nail abnormalities involved the toenails (57.6%). The most common clinical signs were, in descending order, Beau's lines, pachyonychia, subungual hyperkeratosis and onycholysis. The most frequent diagnoses were fever‐related Beau's lines or onychomadesis (9.7%), trachyonychia (8.4%), longitudinal melanonychia (8.1%) and congenital malalignment of the great toenail (8.1%). The main diagnoses by age group were as follows: congenital hypertrophy of the lateral nail folds (21.4%) [0–2 years old]; fever‐related Beau's lines or onychomadesis (21%) [2–6 years old]; trachyonychia (22%) [6–12 years old]; and juvenile ingrown nail (21.4%) [12–18 years old]. Management included clinical observation for 119 patients and specific advices for 108 patients. A treatment was prescribed for 134 patients, topical in 76.5% of cases. Follow‐up demonstrated complete healing in 50.6% of patients and improvement in 19.7%. Conclusion The most frequent nail disorders are benign, and their distribution varies with age. Management mainly involves conservative care, and the prognosis is favourable in the majority.

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Section: Discussionsupporting

confidence: 91%

Paediatric nail consultation in an academic centre in Belgium: a 10‐year retrospective study

Tasia

Lê

Richert

et al. 2019

Acad Dermatol Venereol

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“…As the distal portion of the nail grows out, the separated proximal portion is painlessly shed [1]. The pathogenesis of onychomadesis is similar to that of Beau's lines where transverse depressions result from a thinned nail plate due to slowing or disruption of cell growth within the matrix [2].…”

Section: Introductionmentioning

confidence: 99%

Seasonal Onychomadesis of the Great Toes

Pearson

Daniel

2017

Skin Appendage Disord

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Onychomadesis occurs when the proximal nail plate becomes unattached to the underlying structures. When only one or a few nails are involved, the cause is usually physical trauma. A 23-year-old female presented with a 4-year history of recurrent onychomadesis involving her bilateral great toes that occurred during the springtime. While recurrent trauma from winter shoes or athletic activities may be a contributing factor, our patient was convinced that wearing tight-fitting socks during winter nights was the primary pathophysiologic process. By wearing socks only during the days and decreasing the amount of time the nails spent traumatized due to pressure, the patient's recurrent condition was eliminated.

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“…Onychomadesis has been associated with diverse conditions including systemic diseases, cytotoxic drugs use and periungual illness. Especially in children, viral infections like hand foot and mouth disease (HFMD), scarlet fever, Kawasaki's disease and varicella have been reported to provide risk factors for onychomadesis …”

Section: Introductionmentioning

confidence: 99%

Onychomycosis secondary to onychomadesis: an underdiagnosed manifestation

Chen

Yin

et al. 2016

Mycoses

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Onychomycosis is a rare nail disorder in early childhood, while onychomadesis is a periodic idiopathic, non-inflammatory disease that affects the nail matrix and is common in children especially in those who suffer from viral infections. In this study, we investigated recent cases of onychomycosis subsequent to periods of onychomadesis in children. Sixteen young children (six males, 10 females) with a mean age of 36.5 months were diagnosed with onychomadesis, and 13 of the patients had a history of viral infection prior to nail changes. Direct microscopy of nail scaling was positive in 11 cases (68.8%), and culture was positive in the same number of cases. Four Candida species were isolated: Candida glabrata was the most frequent, found in eight cases (72.7%), while C. albicans, C. parapsilosis and C. tropicalis, each were encountered in a single case. All children were treated successfully with or without topical bifonazole therapy.

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Onychomadesis: literature review

Cited by 97 publications

References 37 publications

Paediatric nail consultation in an academic centre in Belgium: a 10‐year retrospective study

Paediatric nail consultation in an academic centre in Belgium: a 10‐year retrospective study

Seasonal Onychomadesis of the Great Toes

Onychomycosis secondary to onychomadesis: an underdiagnosed manifestation

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