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KMID : 0032220140260040514
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Annals of Dermatology
2014 Volume.26 No. 4 p.514 ~ p.516
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Green Nail Syndrome Treated with the Application of Tobramycin Eye Drop
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Bae You-In
Lee Gang-Mo
Sim Ji-Hoon
Lee Sang-Hoon
Lee Sung-Yul
Park Young-Lip
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Abstract
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Green nail syndrome (chromonychia) is a nail disorder cha-racterized by onycholysis and green-black discoloration of the nail bed. This condition is often associated with chronic paronychia. Pseudomonas aeruginosa is the most commo-nly identified organism in cultures from the affected area. Despite the various treatment options available, removal of the nail is still necessary in many cases. A 35-year-old man presented with dark-greenish discoloration of the nail plate and onycholysis on the left thumbnail. He had been treated with oral antifungal and antibiotic agents for several months; however, the lesion showed no improvement. The diagnosis of green nail syndrome was established after a positive bacterial culture, and on the basis of the antibiotic sensitivity test result, tobramycin eye drop (Tobrexⓡ) was then pre-scribed. Three weeks later, the nail discoloration almost vanished but the onycholysis remained. Herein, we recom-mend the application of tobramycin eye drop as an easy and safe treatment option for green nail syndrome. (Ann Dermatol 26(4) 514∼516, 2014)
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KEYWORD
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Eye drop, Green nail syndrome, Pseudomonas aeruginosa, Tobramycin
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