Vol. 28 - Num. 109

Clinical Reviews

Superficial white onychomycosis in pediatrics: a diagnostic and therapeutic challenge

Ana M.ª Escalona Gila, Alejandro Jiménez Domínguezb, María Martín Galachec, Juan Evangelista García Garcíad

aServicio de Pediatría. Hospital Universitario Infanta Leonor. Hospital Universitario La Moraleja. Madrid. España.
bServicio de Pediatría. Hospital Universitario La Zarzuela. Aravaca. Madrid. España.
cServicio de Pediatría. Hospital Universitario La Moraleja. Hospital Infantil Universitario Niño Jesús. Madrid. España.
dPediatra. CS Elena Ginel Díez. Salamanca. España.

Correspondence: AM Escalona. E-mail: anaescal56@gmail.com

Reference of this article: Escalona Gil AM, Jiménez Domínguez A, Martín Galache M, García García JE. Superficial white onychomycosis in pediatrics: a diagnostic and therapeutic challenge . Rev Pediatr Aten Primaria. 2026;28:[en prensa].

Published in Internet: 13-01-2026 - Visits: 645

Abstract

Onychomycosis is an uncommon fungal infection in the pediatric population, although its incidence has increased in recent years. Consequently, primary care pediatricians should be familiar with the different clinical presentations of onychomycosis, as well as its diagnostic and therapeutic approaches.

Among the different types of onychomycosis, superficial white onychomycosis is a particularly uncommon subtype in childhood. For this reason, it is essential to recognize its clinical features and to establish an appropriate differential diagnosis with other conditions with similar findings.

We present the clinical case of a male patient diagnosed with superficial white onychomycosis, with the aim of describing his diagnostic evaluation and therapeutic management.

Keywords

Nail fungal infection Onychomycosis Superficial white onychomycosis