Alterações ungueais incomuns numa criança: consequência de uma infeção comum (relato de caso)
DOI:
https://doi.org/10.32385/rpmgf.v39i2.13553Keywords:
Unhas malformadas, Doença de mão, pé e boca, Relato de casosAbstract
Introdução: A onicomadese é a separação da unha da matriz ungueal após paragem temporária da sua formação, originando destacamento da mesma. Este fenómeno pode ter múltiplas etiologias, sendo pouco frequente na infância. Os autores desconhecem outro caso que reporte a associação entre onicomadese e a doença mão-pé-boca, no âmbito dos cuidados de saúde primários em Portugal.
Descrição do caso: Criança de 21 meses de idade, do sexo masculino, previamente saudável, recorre à consulta na sua unidade de saúde por apresentar alterações ungueais, sem outros sinais ou sintomas associados, que surgiram quatro semanas após o diagnóstico de doença mão-pé-boca.
Comentário: As linhas de Beau e a onicomadese são complicações tardias da síndroma mão-pé-boca. Deste modo, é importante que os clínicos invistam numa anamnese adequada, incluindo infeções recentes. Por outro lado, conhecer os indicadores prováveis e a associação entre onicomadese e a doença mão-pé-boca pode evitar investigações, referenciações e tratamentos inadequados. Adicionalmente, informar e aconselhar os pais, cuidadores e pacientes sobre possíveis alterações ungueais semanas após a infeção poderá ajudar a prevenir preocupações desnecessárias.
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