Nail Growth Issues in Children: A Dermatologist's Insight - Dermatology

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Nail problems?


My daughter is 10 years old and her development is normal, but her fingernails have not been growing for over a year, and I haven't had to trim them.
I'm not sure what the issue could be.

kiki, 30~39 year old female. Ask Date: 2006/06/25

Dr. Zheng Lizhen reply Dermatology


Hello: If a 10-year-old child has normal nail development but the fingernails are not growing, it is most likely due to the child biting them off.
This behavior can be a habitual emotional response or a coping mechanism (such as realizing at school that the nails are untrimmed and fearing punishment from the teacher or ridicule from peers).
If the toenails are also not growing, it is advisable to consult a nearby dermatologist.
Sincerely, Dr.
Cheng Li-Chen, Dermatologist.

Reply Date: 2006/06/25

More Info


When it comes to understanding nail growth issues in children, particularly in your 10-year-old daughter who has not had her fingernails grow significantly for over a year, there are several factors to consider. Nail growth can be influenced by a variety of factors including genetics, nutrition, health conditions, and environmental factors.

Firstly, it’s important to note that the average rate of nail growth in children is about 0.1 millimeters per day, which translates to roughly 3 millimeters per month. If your daughter’s nails have not grown at all in over a year, this is indeed unusual and warrants further investigation.
One potential cause of stunted nail growth could be a nutritional deficiency. Nails require a variety of nutrients to grow properly, including proteins (like keratin), vitamins (such as biotin, vitamin E, and B vitamins), and minerals (like zinc and iron). A diet lacking in these essential nutrients can lead to poor nail growth. Ensuring that your daughter has a balanced diet rich in fruits, vegetables, whole grains, and proteins can help support healthy nail growth.

Another consideration is the possibility of underlying health conditions. Conditions such as hypothyroidism, psoriasis, eczema, or other dermatological issues can affect nail growth. Additionally, systemic conditions like anemia or other metabolic disorders can also manifest as changes in nail growth. If there are any other symptoms present, such as changes in skin texture, color, or overall health, it would be prudent to discuss these with a healthcare provider.

Environmental factors can also play a role. Frequent exposure to water, harsh chemicals, or even certain types of nail polish can damage the nails and inhibit growth. Encouraging your daughter to avoid biting her nails or picking at them can also be beneficial, as these habits can lead to trauma that affects growth.

Given that your daughter has not had her nails cut in over a year, it would be advisable to consult a dermatologist or a pediatrician who specializes in dermatology. They can conduct a thorough examination and may recommend tests to rule out any underlying health issues. A dermatologist can also provide guidance on proper nail care and any necessary treatments that may help stimulate growth.

In summary, while there are several potential reasons for your daughter’s nail growth issues, it is essential to approach this matter with a comprehensive evaluation. A healthcare professional can provide the best insight and recommendations tailored to her specific situation. Addressing any nutritional deficiencies, assessing for underlying health conditions, and ensuring proper nail care are all important steps in promoting healthy nail growth in children.

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