PMC6360979_01
Onycholysis with yellowish-green discoloration suggesting underlying
bacterial proliferation
abd-94-01-0118-g01.jpg
PMC6360979_01_abd-94-01-0118-g01.jpg
f1
A 49-year-old female patient, without comorbidities or use of medications, presented with yellow-greenish fingernail discoloration of the right third finger, and shortening of the nail plate of the right first finger six years ago (Figure 1).
Partial nail avulsion of the onycholytic area with an intensely keratinized
nail bed
abd-94-01-0118-g02.jpg
PMC6360979_01_abd-94-01-0118-g02.jpg
f2
Our therapeutic option was avulsion of the affected area (Figure 2) and daily treatment with tretinoin 0.025% gel on both nail beds, which resulted in complete improvement of the condition at a three-month follow-up (Figure 3).
Result after three months of tretinoin 0.025% gel applied to the nail bed,
with complete nail adhesion
abd-94-01-0118-g03.jpg
PMC6360979_01_abd-94-01-0118-g03.jpg
f3
Our therapeutic option was avulsion of the affected area (Figure 2) and daily treatment with tretinoin 0.025% gel on both nail beds, which resulted in complete improvement of the condition at a three-month follow-up (Figure 3).