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   Nail Discoloration
 
Definition:
Nail Discoloration
 
Medical terms related to nail discoloration :
Fungal Nail Infection, Ringworm of the Nails, Fungal Nails, Green Nails, Ingrown Nail, Ingrown Toenail, Jogger's Nails, Nail Fungus, Nail Infection, Nail Ringworm, Red Nails, Ridges on Nails, White Nails, White Spots on the Nails, Yellow Nails, Black Nails
 
Common causes of nail discoloration: 
o Atopic Dermatitis
o Diabetes
o Fungal Nails (Onychomycosis)
o Jaundice
o Kidney disease
o Trauma
o Ingrown toenails ( The nail bed becomes red)
o Staining from nail varnish or cosmetic products
o Tobacco use
o Malnutrition
o Chronic lung diseases ( can cause thikening and bulging of the nail, clubbing)
o Liver disease
o Heart disease
o Drug hypersensitivity (e.g. tetracycline)
o
Bacterial infection:
e.g. Pseudomonas bactreium can infect the nail bed and result in a greenish color to the nail.

Other Causes of nail discoloration:
o Candidiasis:
Infection with or disease caused by a fungus of the genus Candida;called also monilia, moniliasis.
o
Yellow nail syndrome:
A very rare disorder marked by a combination of lymphedema of the lower extremities, recurrent pneumonia, bronchiectasis, and yellowed nails.
o
Onycholysis:
Loosening of the nail from the nail bed beginning at the free edge and proceeding to the root.Nails may also appear lightened to a whitish-yellow color.
o
Onychogryphosis:
Abnormal hypertrophy and increased curvature of a nail, e.g. big toe, that often seen in elderly patients or may occur following trauma.
o
Lichen Planus:
A skin disease characterized by wide flat papule eruptions covered by a horny glazed film, and marked by intense itching and lesions on the oral mucosa.
o
Psoriasis:
A chronic skin disease marked by circumscribed red patches covered with white scales, and sometimes color change or pitting of the nails.

 

Call your doctor if nail discoloration is accompanied by: 
o Circumscribed, red, scaly skin patches
o Starting a new drug
o Diabetes

 
Diagnostic tests that may be performed include: 
o KOH Prep
o Culture and stain to rule out fungal infection

 
Medications for nail discoloration may include: 
o Ciclopirox (Penlac)
o Fluconazole (Diflucan)
o Griseofulvin-oral Suspension, Grifulvin V
o Griseofulvin-oral Tablet, Fulvicin, Grifulvin V, Gris-peg, Grisactin
o Itraconazole (Sporanox)
o Terbinafine (Lamisil)
o Triacetin-topical Cream, Solution
o Triacetin-topical Spray
o Triacetin-topical Tincture
   
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Diagnosis of nail discoloration, Reasons of nail discoloration, Prevention of nail discoloration, Definition of nail discoloration, Treatments for nail discoloration


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