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Arch Dis Child 98:665 doi:10.1136/archdischild-2013-304293
  • Miscellanea
  • Images in paediatrics

Nail shedding following hand, foot and mouth disease

  1. Mark Jean-Aan Koh2
  1. 1 Department of Paediatric Medicine, KK Women's and Children's Hospital, Singapore, Singapore
  2. 2 Dermatology Service, KK Women's and Children's Hospital, Singapore, Singapore
  1. Correspondence to Dr Zhen Han Tan, Department of Paediatric Medicine, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore 229899, Singapore; tan.zhen.han{at}kkh.com.sg
  • Accepted 5 May 2013
  • Published Online First 30 May 2013

A previously well 5-year-old Chinese girl presented to the children's emergency with nail discolouration of 5 days duration. There was no associated pain or history of trauma. She had otherwise just recovered from hand, foot and mouth disease (HFMD) 3 weeks ago. On examination, there was separation of the nail plate from the nail bed, beginning at the proximal nail fold, …