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Onychomadesis in a 20-Month-Old Child with Kawasaki Disease

Leung AKC 1 , Leong KF 2 , Lam JM 3

Affiliations 

  • 1 Clinical Professor of Pediatrics at The University of Calgary, Calgary, Alberta, Canada T2M 0H5
  • 2 Consultant Pediatric Dermatologist at the Pediatric Institute, Kuala Lumpur General Hospital, Kuala Lumpur, Malaysia
  • 3 Clinical Associate Professor of Pediatrics and Associate Member at the Department of Dermatology and Skin Sciences, University of British Columbia, Vancouver, Canada
Case Rep Pediatr, 2019;2019:3156736.
PMID: 30944748 DOI: 10.1155/2019/3156736

Abstract

Kawasaki disease is characterized by fever for ≥ five days, bilateral bulbar conjunctival injection without exudate, polymorphous rash changes in the extremities, oral mucosal changes, and cervical lymphadenopathy. We report a 20-month-old boy with Kawasaki disease who had onychomadesis affecting the fingernails and toenails bilaterally. To our knowledge, there were three reported cases of onychomadesis associated with Kawasaki disease, to which we add another one. We suggest keeping in mind the possibility of onychomadesis as a nail sequela of Kawasaki disease.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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