Special situations
Fungal nail infection in children
Onychomycosis is uncommon before puberty — under 1% of children — so a nail change in a child deserves a proper diagnosis rather than assumed self-treatment.
Summary
Children's nails grow faster and are thinner, which makes infection both less likely and, when present, more responsive to treatment. But other conditions mimic it, and treatment choices for children are a clinician's decision.
What else it might be
Common alternatives in childhood.
- Trauma from sport or ill-fitting shoes
- Nail psoriasis or eczema around the nail fold
- Habit-tic deformity from picking at the nail fold
- Twenty-nail dystrophy, which usually improves with age
Treatment options
Confirmed infection in a child is usually managed with a topical antifungal, occasionally with weight-adjusted oral treatment under specialist supervision. Always check the patient information leaflet for any product's age guidance and speak to a pharmacist first.
When to seek medical advice
Always, for a child. A GP can send clippings and confirm the diagnosis before any prolonged treatment begins.
Frequently asked questions
Can my child still go swimming?
Yes. Pool shoes and thorough drying afterwards are sensible precautions.
References
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Medical disclaimer. This article is general information written for a UK audience. It is not medical advice and does not replace assessment by a GP, pharmacist or podiatrist. Always read the patient information leaflet supplied with any product before use.