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Images in paediatrics
Nail shedding following hand, foot and mouth disease
  1. Zhen Han Tan1,
  2. 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

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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, …

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Footnotes

  • Contributors ZHT was involved in clinical management of the patient and wrote the manuscript. MJK critically reviewed, revised the manuscript and approved the final manuscript as submitted.

  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.