Conversation: The conversation between human and AI assistant.
[|Human|] My friend s 4years old daughter has developed raised surface on her nails ( of thumbs of both hands). Was first noticed by her mom about a week or so ago when the surface of the nails started sloughing off . It does not seem like an injury. There is no fever but child complaints of being tired often. No rashes or itching on any other part of the body.When shown to her doctor,they ruled out fungal infection. What other condition can cause this?
[|AI|]  Hi...it is better to see and diagnose the skin conditions usually. But the other possibilities could be a Psoriasis or a systemic connective tissue disorder. Skin and eye conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.  Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.