A 7-Year-Old Girl with White Patches on Her Toenails

Case

A mother brought her 7-year-old daughter to the pediatric urgent care center after noticing that several of the girl’s toenails on each foot had white patches and appeared short and broken. They seemed to be lifting off the nail beds and looked thinner than usual.

            View the image taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.