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Causes of blackened nails

Discussion in 'General Issues and Discussion Forum' started by lucycool, Aug 17, 2012.

  1. lucycool

    lucycool Active Member


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    Hi Guys,
    I have a client who has 3 black toenails, 2nd, 3rd and 5th on one foot. They have been black for 2 years.
    No trauma, no bruising, swelling etc etc.. Previous pod was treating with daktarin, but Im not sure of the point, there is slight fungal infection, but client thinks its to stop the black, not the fungal infection.. so I see the point in using it for the infection, but not the black..
    She has renal failure and Diabetes and heart problems.. Im wondering if it has something to do with the renal failure, thought I heard that once, but unsure and I cant find anything on the web..
    She just wants to know why its happened.. and so do I!

    Sorry for the slight rambling, friday afternoon is affecting me!

    Any thoughts would be gratefully appreciated!

    Lucy
     
  2. markjohconley

    markjohconley Well-Known Member

    Sorry Lucy, this is not 'answering slight rambling' Friday afternoon, please submit next one, all the best, mark
     
  3. Craig Payne

    Craig Payne Moderator

    Articles:
    6
  4. blinda

    blinda MVP

    Could well be. Then again it may be increased melanocyte stimulation in the nail bed associated with kidney failure. Difficult to say without a pic.
     
  5. R.E.G

    R.E.G Active Member

    Bel

    if that was so why would it be limited to 3 nails?
     
  6. blinda

    blinda MVP

    Bob,

    If they are acquired malanocytic naevi they wouldn't present in a bilateral or symmetrical pattern. It was only a suggestion and we can't really speculate any further without pics or more detail on whether the discoloration is in the nail bed or plate, if the whole nail is black or parts of it, etc.

    That said, Terrys nails; half white half Brown can be seen in pts with renal failure and discoloured nails can be associated with diabetes and/or vascular problems.

    I would recommend referral for biopsy to rule out any malignancy.
     
  7. David Smith

    David Smith Well-Known Member

    This paper may be useful.

    Dave Smith
     

    Attached Files:

  8. Billquiet

    Billquiet Member

    Hi Lucycool,
    There is a fungal organism called Tricophyton Tonsurans that produces a black discoloration of the nails. Hopefully it would respond to one of the topical antifungals eg Loceryl paint.

    Billquiet.
     
  9. Merryn1

    Merryn1 Welcome New Poster

    Can you upload pictures on here? Would be best to see it really. Could well be Fungal melanonychia.
     
  10. blinda

    blinda MVP

    Yep. That`s what i suggested....

    BTW, :welcome: to the Arena, Merryn1

    Cheers,
    Bel
     
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