As though we do not hear enough about viruses causing problems in our lives, now we get to deal with another one!
A febre aftosa (HFMD) em nossas crianças pequenas é mais prevalente nessa época do ano.
A HFMD é causada por um vírus da família Coxsackievirus (geralmente a variante A16, mas pode ser causada por outras cepas) e é altamente contagiosa.
A diagnosis can be made by your Medical Doctor by the presenting signs and symptoms, or by doing a culture from a throat swab or a stool specimen. Traces can be found in the stool for up to 6 weeks after the infection, by which time the young nail plates will already be showing signs of onychomadesis.
Onychomadesis is a shedding of the nails, beginning at the proximal nail fold, and is possibly caused by the temporary arrest of the function of the nail matrix. This causes the nail plate cells to be released all at once when the fever dies down a little.
Vemos isso com frequência em crianças que tiveram HFMD. Em geral, ela se resolve sem complicações.
It is imperative to keep the nails clean – soap and water are your friends here – followed by a good quality oil.
A nail wrap (finger elastic tape?) comes into its own in this! We can cut it to fit those mini nails and toenails, and remove it at the end of the day without causing any problems. We can repeat it up to the moment when we can trim the nail off easily.
Nail wrap sticks to itself and not to the damaged nail plate – perfect for kids (and some adults) because we can cut it to size, and it fits just fine in little socks and shoes.
Se a placa ungueal solta estiver causando um problema, lixe-a levemente com uma lixa de esponja e, em algumas semanas (cerca de 6), corte-a.
The new one was already forming and should appear from underneath – but do not cut it too soon.
***Please refrain from using mechanical files on a child’s nails or toenails, as it could cause severe damage.
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