Abnormal nail on a one year old baby

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Hi everyone
I want to ask your opinion on a case that came to my consult.
A female patient with 1 year of age, presenting both Hallux with hypertrophy lateral, proximal (Eponychium) and distal (Hyponychium) nail folds and the nail plate is growing from plantar to dorsal of the nail bed.
Unfortunately it was not possible to obtain photographic record because the patient did not stop crying and it whas very nervous, I will try the next consultation
I requested an Rx, but honestly i do not know what it could be.
Does any one have any idea or any advice that could healp me?
My regards
André

 

Hi AnDre,

I'm not sure I fully understand? Was there an excess of nail medial and lateral nail sulci were excessively covering the nail to the point the nail was hard to visualise?

If that was the case, it can be quite common and often congenital. I generally teach the parents how to keep the nail well cares for and clean. How to gently clean under the skin and when and where to cut the nail. We also talk about the importance of loose socks and shoes and the growsuits with feet in (that are usually too small), just to reduce any pressure on the nail.

Generally then I let them know to give me a call if they show signs of infection. More than 2 infections and we chat about surgery options. We have really only had to do that one 1-2. Most grow out of it.

Hope that helps?

 

Bug thanks for your reply.
The patient returned bringing the Rx and there was the presence of a huge exostosis in both Hallux i do not know if it is normal to see a baby whid a very prominent exostosis.
After discussing the case with Professor Dr. Eckart Haneke a German dermatologist specialized in problems of the nail is said that he finds this exostosis in some of is pediatric pacients but not on such a young age.
The pacient was referred to pediatric surgery because general anesthesia is necessary to intervene in these fingers and try to solve this problem.
I will briefly put the photos of the nails and the Rx
Compliments
André Ferreira:drinks