Key result
Among 33 patients with hand, foot and mouth disease, 18.2% developed self-limited onychomadesis during 4 to 6 weeks of follow-up, which was unrelated to disease severity.
Observational (n=33)
Onychomadesis is a self-limiting complication of hand, foot, and mouth disease that requires only symptomatic treatment and parental reassurance.
In 2019, an outbreak of hand, foot and mouth disease (HFMD)occurred in Maldives and many patients presented with onychomadesis following HFMD. Here we present a study of 33 cases out of which a total of 06 cases developed onychomadesis. Patients varied in clinical presentations ranging from mild to severe form of HFMD and during follow up 06 cases presented with peroidic shedding of nails involving both fingernails and toenails. All the patients were observed 4 to 6 weeks after diagnosis of HMFD was made. It was observed that onychomadesis developed was not related to the severity of the disease. Patients required only symptomatic treatment for HFMD and observation with assurance for onychomadesis as course was self-limited. Nail changes were temporary in nature and spontaneous regrowth occurred after shedding of the nails. Parental counselling played a cruicial role in management.
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Daraz et al. (2020) conducted an observational in Hand, foot and mouth disease (HFMD) (n=33). Hand, foot and mouth disease (HFMD) was evaluated on Development of onychomadesis. Among 33 patients with hand, foot and mouth disease, 18.2% developed self-limited onychomadesis during 4 to 6 weeks of follow-up, which was unrelated to disease severity.
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