소아에서 발생하는 손발톱질환에 대한 고찰
A Study of Nail Disorders in Children
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Background: There have been increasing patients with nail diseases at a dermatology department. Some nail disorders in children may differ from those observed in adults in terms of their incidence ormanifestations. Objective: The aim of this study was to explore the frequency and nature of nail alterations in pediatricpatients. Methods: We retrospectively reviewed the medical records and clinical photos of 2,514 patients under18-year-old with nail disorders who had visited Hallym University Sacred Heart Hospital betweenJanuary 2003 and December 2013. Results: The number of pediatric patients with nail disorders has been increased since 2008. Among2,514 patients, infectious nail diseases were most common (64.4%). Others included; other unclassifiednail change (21.4%), traumatic nail disorders (7.9%), nail involvement of dermatologic diseases (4.6%),nail change with systemic conditions (0.7%), tumors involving nail apparatus (0.6%), and congenital orinherited conditions (0.1%). Unlike adults, pediatric patients showed small proportion of onychomycosisbut large proportion of traumatic nail diseases. Conclusion: Most common nail disease in children was viral wart, and this result differed from thatof adults in previous studies. Pediatric nail alterations have been increasing major concerns in patientswho visit dermatologic clinics so that recognizing the frequency and manifestation of nail disorders inchildren can be helpful of evaluating pediatric patients with nail change.
Abstract
Background: There have been increasing patients with nail diseases at a dermatology department. Some nail disorders in children may differ from those observed in adults in terms of their incidence ormanifestations. Objective: The aim of this study was to explore the frequency and nature of nail alterations in pediatricpatients. Methods: We retrospectively reviewed the medical records and clinical photos of 2,514 patients under18-year-old with nail disorders who had visited Hallym University Sacred Heart Hospital betweenJanuary 2003 and December 2013. Results: The number of pediatric patients with nail disorders has been increased since 2008. Among2,514 patients, infectious nail diseases were most common (64.4%). Others included; other unclassifiednail change (21.4%), traumatic nail disorders (7.9%), nail involvement of dermatologic diseases (4.6%),nail change with systemic conditions (0.7%), tumors involving nail apparatus (0.6%), and congenital orinherited conditions (0.1%). Unlike adults, pediatric patients showed small proportion of onychomycosisbut large proportion of traumatic nail diseases. Conclusion: Most common nail disease in children was viral wart, and this result differed from thatof adults in previous studies. Pediatric nail alterations have been increasing major concerns in patientswho visit dermatologic clinics so that recognizing the frequency and manifestation of nail disorders inchildren can be helpful of evaluating pediatric patients with nail change.
참고문헌 (25)
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