Do you have green toenail discoloration?

Do you have green toenail discoloration?

Green toenail discoloration is also called green nail syndrome.  This results from a pseudomonas infection. 

Predisposing factors for green nail syndrome:

  1. Tinea infection of the nails (because it alters the nail plate making the nailbed more susceptible to pathogens)
  2. Infection of the skin around the nails.
  3. Working as a barber, dishwasher, janitor, baker, or nail salon (because of water and chemical exposures)
  4. Use of artificial nails and nail polishes

Do you need additional testing to confirm the diagnosis?  It is a clinical diagnosis.  No labs are needed to confirm the diagnosis.

What is the treatment?  Trim the nails. Keep nails dry.  Avoid trauma to the toe.  Home treatments like vinegar soaks or diluted chlorine bleach are not known to be effective.  Topical antibiotics can be applied to the nail bed. Occasionally the nail needs to be removed.  Oral antibiotics can be used for severe infections.

About drlesliegreenberg

I have been practicing as a family physician for over 20 years--as both an educator of physicians and clinician. From infancy to the elderly, I perform obstetrics and general medicine. I love my career and am passionate about my field of knowledge and my patients. Follow me on Facebook at Leslie Md Greenberg Medical Disclaimer The content of this website is provided for general informational purposes only and is not intended as, nor should it be considered a substitute for, professional medical advice. Do not use the information on this website for diagnosing or treating any medical or health condition. If you have or suspect you have a medical problem, promptly contact your professional healthcare provider.
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