What Causes Onychomadesis?


Onychomadesis is a periodic idiopathic shedding of the nails beginning at the proximal end, possibly caused by the temporary arrest of the function of the nail matrix.

One cause in children is hand, foot, and mouth disease.

Is Onychomadesis contagious?

HFMD is a common contagious disease, affecting mainly children under the age of 10, but also reported in adults [1]. Onychomadesis, a rare complication occurring 4 to 6 weeks after the onset of the disease, is usually self-limited and does not require treatment [4].

How is Onychomadesis treated?

Onychomadesis typically is mild and self-limited. There is no specific treatment, but a conservative approach to management is recommended with treatment of any underlying causes and supportive care. Spontaneous nail regrowth usually occurs within 12 weeks and may occur faster in children.

Is Onychomadesis dangerous?

Onychomadesis or nail shedding is a rare complication of HFMD, which can be a major cause of parental anxiety if the etiology cannot be explained. Reports of onychomadesis following HFMD are few from India and may have been missed out due to lack of awareness among clinicians.

What is onychomycosis caused by?

Distal subungual onychomycosis is the most common form of tinea unguium and is usually caused by Trichophyton rubrum, which invades the nail bed and the underside of the nail plate. This normally requires the prior damage of the nail by infection or trauma.

How long does Onychomadesis last?

This generally resolves without complication. Onychomadesis can also occur if the nail is damaged or suffers a loss of blood supply; for example, due to a bruise. The nailbed turns black, and the nail drops off shortly afterwards. It takes around 6 to 12 months to regrow.

How is Onychogryphosis treated?

Nails should be clipped straight across rather than curved to avoid ingrown nails. You should also wear clean cotton socks that can absorb moisture and help prevent fungal infections. Additional treatment methods may be used to address the underlying cause of ram’s horn nails to prevent the condition from developing.

What is the cause of Onychogryphosis?

Onychogryphosis may be caused by trauma or peripheral vascular disease, but most often secondary to self-neglect and failure to cut the nails for extended periods of time. This condition is most commonly seen in the elderly.

Why is my child’s fingernails falling off?

5. Onychomadesis. Typically in this condition, all of the nails will separate from the nail bed at the cuticle and peel off completely. These shedding nails can be associated with viral infections, particularly hand, foot, mouth disease, measles, and Kawasaki disease, or any other infection that causes a high fever.

What is Onychoptosis of the nail?

Onychoptosis is the periodic shedding of one or more nails, in whole or part. This condition may follow certain diseases such as syphilis, or can result from fever, trauma, systemic upsets or adverse reaction to drugs. Paronychia is a bacterial or fungal infection where the nail and skin meet.

Is Onycholysis a fungal infection?

The most common cause of onycholysis is trauma. Fungal infections of the nails thicken the tissue immediately underneath the nail plate and cause edge of the nail to lift. Certain skin conditions, including allergic reactions and psoriasis are common causes of onycholysis.

How do you treat Onychauxis?

Medical treatments for onychauxis

  • Treat underlying conditions. If you have this nail growth issue, your doctor may want to identify potential issues that could be causing it.
  • Removal of the affected nail.
  • Keep neat, trimmed nails.
  • Wear comfortable shoes.
  • Paint with a polish.
  • Move more.

How do you fix Onycholysis?

What is the treatment for onycholysis?

  1. Clip the affected portion of the nail, and keep the nails short.
  2. Avoid injuring the affected nail, and keep the nail bed dry.
  3. Avoid exposure to contact irritants such as nail enamel and enamel remover or solvents and detergents.