A gentleman brought his 16 month old male child in for an assessment yesterday.
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Clinical assessment revealed that all the toes were thickened and both 1st were also very involuted, No OC or infections. No infection in the nail according to tests conducted by the GP.
No history of any problems at birth, parents nails are normal along with siblins.
The child is black and does exist a number of birth marks. the big toes did not have nails at the time of birth.
AJ motion was normal, toes alignment and arch shape normal. Walking patterns seemed normal, child walks and plays without any problems.
The child sometimes points at his toes but they do not appear to be causing pain.
Questions.
1. Does any body have similar experience of this problem and is it likely that the nails will become a normal shape or will they continue to thicken as they do in adults.
2. Any further advice that I should give the parents, I have advised on cutting and filing technique.
Kind Regards,
Mathew Vaughan
Feet in Focus
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