A member asked:

My 20 mth sons big toenail fell off & his other big toe is lifting from nailbed. no trauma, fungus ruled out, nails are flat/spoon. ideas on causes?

9 doctors weighed in across 4 answers
Dr. Joseph Bouvier answered

Specializes in Pediatrics

See below: Onycholysis is the separation of the nail plate from the nail bed. It can be caused by local problems like periungual warts or fungus (onychomycosis), but the most common reason for separation is trauma. However, some systemic diseases can cause this like psoriasis and hyperthyroidism. Have your pediatrician look into these possibilities.

Answered 5/15/2015

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Spoon shaped nails: Spooned shaped nails are associated with anemia. Not sure if he has had blood work done but maybe the pediatrician can have blood work done to rule this out. Also make sure his shoes are not too tight as this could also cause detachment of the nail.

Answered 4/10/2016

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Trauma: Can be from shoes - take all his shoes with you and see derm or podiatrist.

Answered 10/3/2016

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Toenail: Technical term is onycholysis and usually falls off or lifts from nail bed due to trauma. Spoon shape could be a systemic problem like anemia.

Answered 7/13/2017

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