• Curr Probl Pediatr Adolesc Health Care · Sep 2012

    Review

    Nail disorders as signs of pediatric systemic disease.

    • Kara N Shah and Adam I Rubin.
    • Division of Pediatric Dermatology, Cincinnati Children's Hospital, Cincinnati, Ohio, USA.
    • Curr Probl Pediatr Adolesc Health Care. 2012 Sep 1; 42 (8): 204-11.

    AbstractHerein, we describe some of the more common changes in the nail unit that can be seen in systemic diseases in children. Changes that can be seen are not limited to those discussed in the following pages. The presence of changes on multiple nails is suggestive of a systemic cause in an ill child. However, multiple nails can also be affected in primary inflammatory disorders and infections of the nail unit. When evaluating a pediatric patient with a nail disorder, it is important to perform a complete physical examination of the skin and oral mucosa, as other clues to the diagnosis of the nail problem may be found. A comprehensive family history is also important to uncover possible syndromic associations with nail disease or diseases that can manifest with nail changes.Copyright © 2012 Mosby, Inc. All rights reserved.

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