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European Journal of Pediatrics

, Volume 160, Issue 11, pp 649–651 | Cite as

Nail matrix arrest in the course of hand, foot and mouth disease

  • Vincent Bernier
  • Christine Labrèze
  • Françoise Bury
  • Alain Taïeb
Original Paper

Abstract.

Onychomadesis describes complete nail shedding from the proximal portion; it is consecutive to a nail matrix arrest and can affect both fingernails and toenails. It is a rare disorder in children. Except for serious generalised diseases or inherited forms, most cases are considered to be idiopathic. Few reports in literature concern common triggering phenomena. We present four patients in whom the same benign viral condition in childhood appeared as a stressful event preceding onychomadesis. In each case, spontaneous complete healing of the nails was achieved within a few weeks. Conclusion: onychomadesis and/or onycholysis is a newly recognised complication in the course of viral infections presenting clinically as hand, foot and mouth disease, and because of mild forms, is probably underestimated.

Coxsackie virus Hand foot and mouth disease Nail Onychomadesis 

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Copyright information

© Springer-Verlag 2001

Authors and Affiliations

  • Vincent Bernier
    • 1
  • Christine Labrèze
    • 2
  • Françoise Bury
    • 1
  • Alain Taïeb
    • 2
  1. 1.Department of Paediatrics, St. Joseph Hospital, Rue de Hesbaye, 75, 4000 LiègeBelgium
  2. 2.Paediatric Dermatology Unit, Department of Dermatology, Pellegrin Children's Hospital, BordeauxFrance

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