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Nagelveränderungen im Kindesalter

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Zusammenfassung

Nagelveränderungen sind bei Erwachsenen häufig, bei Kindern jedoch relativ selten. Dennoch gibt es bestimmte Nagelveränderungen, die insbesondere im Kindesalter vorkommen. So sind bei Kleinkindern häufig eingewachsene Nägel, Onychoschisis, angeborener Schiefstand des Großzehennagels sowie psoriasiforme Nageldystrophien zu beobachten, bei Schulkindern das Syndrom des eingewachsenen Nagels, Nagelartefakte, periunguale Warzen bzw. Fibrome, Trachyonychie sowie Nagelmykosen. Konnatale Nagelveränderungen können isoliert oder in Verbindung mit anderen Symptomen auftreten. Erworbene Nagelveränderungen hingegen entstehen durch Infektionen, Traumata, Tumoren, bei Hautkrankheiten bzw. Allgemeinkrankheiten oder auch spontan.

Abstract

Nail changes occur frequently in adults, but are relatively rare in children. There are, however, certain nail changes that emerge particularly during childhood. Ingrown nails, onychoschizia, congenital slanted alignment of the large toenail, and psoriasiform nail dystrophies can be frequently observed in toddlers and in schoolchildren the syndrome of an ingrown nail, nail artifacts, periungual warts or fibromas, trachyonychia, and nail mycoses. Connatal nail changes can appear as isolated events or together with other symptoms whereas acquired nail changes are caused by infections, traumatic injuries, or tumors, in conjunction with skin diseases or general illnesses, or even develop spontaneously.

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Literatur

  1. Akinduro OM, Venning VA, Burge SM (1994) Psoriatic nail pitting in infancy. Br J Dermatol 130:800–801

    Google Scholar 

  2. Baran R, Dawber R (1987) Twenty-nail dystrophy of childhood: a misnamed syndrome. Cutis 39:481–482

    Google Scholar 

  3. Baran R, Haneke E (1998) Etiology and treatment of nail malalignment. Dermatol Surg 24:719–721

    Google Scholar 

  4. Baran R (1992) Congenital malalignment of the great toenails. Pediatr Dermatol 9:84

    Google Scholar 

  5. Berlin AL, Billick RC (2002) Use of CO2 laser in the treatment of periungual fibromas associated with tuberous sclerosis. Dermatol Surg 28:434–436

    Google Scholar 

  6. Borelli S (1999) Koenen, Kothe and periungual fibroma in tuberous sclerosis. Hautarzt 50:368–369

    Google Scholar 

  7. Cohen JL, Scher RK, Pappert AS (1991) Congenital malalignment of the great toenails. Pediatr Dermatol 8:40–42

    Google Scholar 

  8. Dawber RP, Baran R (1988) Nail abnormalities. Semin Dermatol 7:73–79

    Google Scholar 

  9. De Berker DA, Baran R (1998) Acquired malalignment: a complication of lateral longitudinal nail biopsy. Acta Derm Venereol 78:468–470

    Google Scholar 

  10. Effendy I (1994) Erkrankungen der Nägel im Alter. In: Platt D, Friederich HC (Hrsg) Handbuch der Gerontologie, Band 7: Dermatologie. Gustav Fischer, Stuttgart, S 298–309

  11. Gerritsma-Bleeker CL, Klaase JM, Geelkerken RH et al. (2002) Partial matrix excision or segmental phenolization for ingrowing toenails. Arch Surg 137:320–325

    Google Scholar 

  12. Gupta AK, Chang P, Del Rosso JQ et al. (1998) Onychomycosis in children: prevalence and management. Pediatr Dermatol 15:464–471

    Google Scholar 

  13. Hamm H, Karl S, Brocker EB (2000) Isolated congenital nail dysplasia: a new autosomal dominant condition. Arch Dermatol 136:1239–1243

    Google Scholar 

  14. Haneke E (2000) Nail surgery. Eur J Dermatol 10:237–241

    Google Scholar 

  15. Iglesias A, Tamayo L, Sosa-de-Martinez C et al. (2001) Prevalence and nature of nail alterations in pediatric patients. Pediatr Dermatol 18:107–109

    Google Scholar 

  16. Karpen M (1992) The CO2 laser used for matrixectomy. J Clin Laser Med Surg 10:454–455

    Google Scholar 

  17. Klint A (1979) Eisen- und Calciummangel-Syndrom bei Onychoschisis. Hautarzt 30:173–174

    Google Scholar 

  18. Lazar L, Erez I, Katz S (1999) A conservative treatment for ingrown toenails in children. Pediatr Surg Int 15:121–122

    Google Scholar 

  19. Lin YC, Su HY (2002) A surgical approach to ingrown nail: partial matricectomy using CO2 laser. Dermatol Surg 28:578–580

    Google Scholar 

  20. Löffler H, Effendy I (1998) Nagelerkrankungen beim alten Menschen. TW Dermatologie 28:332–335

    Google Scholar 

  21. Noronha PA, Zubkov B (1997) Nails and nail disorders in children and adults. Am Fam Physician 55:2129.40

    Google Scholar 

  22. Schulte KW, Neumann NJ, Ruzicka T (1998) Surgical pearl: nail splinting by flexible tube — a new noninvasive treatment for ingrown toenails. J Am Acad Dermatol 39:629–630

    Google Scholar 

  23. Rounding C, Hulm S (2000) Surgical treatments for ingrowing toenails. Cochrane Database Syst Rev 2:CD001541

    Google Scholar 

  24. Taniguchi S, Kutsuna H, Tani Y et al. (1995) Twenty-nail dystrophy (trachyonychia) caused by lichen planus in a patient with alopecia universalis and ichthyosis vulgaris. J Am Acad Dermatol 33:903–905

    Google Scholar 

  25. Tosti A, Bardazzi F, Piraccini BM et al. (1995) Is trachyonychia, a variety of alopecia areata, limited to the nails? J Invest Dermatol 104:27s–28s

    Google Scholar 

  26. Tosti A, Piraccini BM (2001) Warts of the nail unit: surgical and nonsurgical approaches. Dermatol Surg 27:235–239

    Google Scholar 

  27. Yang KC, Li YT (2002) Treatment of recurrent ingrown great toenail associated with granulation tissue by partial nail avulsion followed by matricectomy with sharpulse carbon dioxide laser. Dermatol Surg 28:419–421

    Google Scholar 

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Correspondence to I. Effendy.

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Effendy, I. Nagelveränderungen im Kindesalter. Hautarzt 54, 41–44 (2003). https://doi.org/10.1007/s00105-002-0472-3

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