What are the reasons for nail loss in hand, foot, and mouth disease?

Patient's question:

My dear daughter is only two years old. Recently, she got hand, foot, and mouth disease, and her mouth was full of sores, similar to ulcers. In some places, blisters also formed, and she cried all day long because her mouth was sore. Now, after taking many days of medicine, she has recovered. Yesterday, I noticed that all her right fingernails were empty and had peeled off immediately. What could be the reason for this?

Doctor's answer:

Follow your own narration that hand, foot, and mouth disease has recurred after recovery, leading to nail shedding. The causes of nail shedding include iron deficiency anemia, calcium deficiency, vitamin deficiency anemia, and lack of trace elements, as well as malnutrition. It is generally more common to see a lack of trace elements, which may also lead to recurrent thinness, poor appetite, frequent colds, and weakened immunity. Therefore, it is advisable to enhance nutrition as much as possible, and intravenous administration of gamma globulin may be necessary when needed to boost immunity.

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