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green nail syndrome
Etiology:
- infection with Pseudomonas aeruginosa
- risk factors
- onycholysis [3]
- damp environment
- prolonged immersion in fresh water
Clinical manifestations:
- onycholytic toenails with green discoloration
- green subungual pigmentation may involve the nail & proximal nail fold
* images [2]
Management:
- cut the detached portion of the nail
- keep nails dry
- topical bacitracin or polymyxin B, applied 2-4 times/day for 1-4 months
- chlorine bleach, diluted 1:4 with water applied topically to affected nails.
- oral ciprofloxacin has been used
- tobramycin ophthalmic
General
nail disease
syndrome
References
- Medical Knowledge Self Assessment Program (MKSAP) 18,
American College of Physicians, Philadelphia 2018
- Brady MP
Fingernail and Toenail Abnormalities: Nail the Diagnosis.
Medscape March 17, 2021
https://reference.medscape.com/slideshow/fingernail-abnormalities-6002456
- American Osteopathic College of Dermatology
Green Nail Syndrome