green nail syndrome

Etiology

• infection with Pseudomonas aeruginosa
• risk factors
  • onycholysis
  • 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

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

More general terms

• nail disease
• syndrome