Nail Skin Peeling in Toddlers: Causes and Solutions - Dermatology

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Peeling skin around the nails?


Hello Dr.
Huang: My child is a little over one year and five months old, and I have a few questions I would like to ask you.
I would appreciate it if you could take the time to answer them.
Thank you!
1.
There is peeling skin around her fingernails—strip-like peeling occurs, and it reappears after I trim it every 1 to 2 weeks.
Is there any way to improve this? Why is this peeling happening? I have heard that it may be due to a deficiency of certain nutrients in the body.
Is that true?
2.
She was born with a birthmark on her chest, about the size of 1 cm in diameter.
What methods are available to remove the birthmark? At what age can this be done? (I brought her to see you when she was 7-8 months old, and you mentioned she was too young and might not tolerate the pain.)
3.
Can such a young baby use sunscreen? Are there any contraindications when selecting a product?

vicky, 0~9 year old female. Ask Date: 2008/12/18

Dr. Huang Ruiyun reply Dermatology


Hello: 1.
You can apply petroleum jelly or hand cream to your child's fingers several times a day, which may help improve the condition.
2.
At just over one year old, she may not cooperate yet! If you want a second opinion, consider taking her to a medical center, such as Chang Gung Memorial Hospital, for a consultation.
I'm not sure if they can offer her alternative anesthesia options.
3.
Yes, if she applies it and does not have an allergic reaction, it should be fine.
Wishing you safety and well-being.

Reply Date: 2008/12/18

More Info


Understanding nail skin peeling in toddlers can be a concern for many parents. The peeling of skin around the nails, also known as paronychia, can occur for various reasons, and it is essential to identify the underlying cause to provide appropriate solutions.
1. Causes of Skin Peeling Around Nails:
The skin around the nails may peel for several reasons, including:
- Dryness: Environmental factors, such as cold weather or low humidity, can lead to dry skin, which may cause peeling.

- Nutritional Deficiencies: While it is true that certain nutritional deficiencies can affect skin health, it is not the sole reason for skin peeling. Deficiencies in vitamins such as biotin, zinc, or essential fatty acids may contribute to skin issues.

- Irritation or Allergic Reactions: Exposure to harsh soaps, detergents, or other irritants can lead to skin irritation and peeling.

- Infections: Fungal or bacterial infections can also cause skin peeling around the nails.

- Habitual Behavior: Toddlers often engage in behaviors such as thumb-sucking or nail-biting, which can irritate the skin around the nails.

To improve the condition, consider the following solutions:
- Moisturizing: Regularly applying a gentle, fragrance-free moisturizer to the hands and around the nails can help combat dryness.

- Gentle Care: Avoid using harsh soaps or hand sanitizers that can further irritate the skin. Opt for mild, moisturizing cleansers.

- Nutritional Support: Ensure your child is receiving a balanced diet rich in vitamins and minerals. If you suspect a deficiency, consult a pediatrician for advice on dietary adjustments or supplements.

- Avoiding Irritants: If you suspect that certain products are causing irritation, try to eliminate them from your child's routine.

2. Birthmarks:
Regarding the birthmark on your child's chest, it is essential to consult a dermatologist or pediatrician for evaluation. Many birthmarks do not require treatment and may fade over time. However, if removal is desired, options such as laser therapy may be considered. The appropriate age for such procedures can vary, and a specialist will provide guidance based on your child's specific situation.

3. Sunscreen for Toddlers:
Yes, it is safe to use sunscreen on toddlers, but it is crucial to choose the right product. Look for:
- Broad-Spectrum Protection: Ensure the sunscreen protects against both UVA and UVB rays.

- SPF 30 or Higher: A higher SPF provides better protection.

- Mineral-Based Formulas: Sunscreens containing zinc oxide or titanium dioxide are often recommended for young children as they are less likely to irritate sensitive skin.

- Fragrance-Free and Hypoallergenic: This reduces the risk of allergic reactions.

When applying sunscreen, make sure to cover all exposed areas, including the face, ears, and the back of the neck. Reapply every two hours, or more frequently if your child is swimming or sweating.

In conclusion, while skin peeling around the nails in toddlers can be concerning, it is often manageable with proper care and attention. If the condition persists or worsens, it is advisable to consult a pediatric dermatologist for further evaluation and tailored treatment options. Additionally, addressing any birthmarks and ensuring safe sun protection will contribute to your child's overall skin health.

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