Onychomadesis Following Hand-Foot Mouth Disease Prospective Observational Study on 33 Cases of Hand Foot Mouth Disease

Abstract

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 disease. Patients required only symptomatic treatmentfor HFMD and observation with assurance for onychomadesis as course was self limited. Nailchanges were temporary in nature and spontaneous regrowth occurred after shedding of the nails. Parental counselling played a cruicial role in management.