JOM

Green nail syndrome in a teenager

By JOM Staff

03.19.24

A 14-year-old female presented to the office in July 2023 with asymptomatic green nail discoloration, which was first noticed after removing acrylic nails worn for one month. Given the classic appearance and history of extended acrylic nail wearing, a diagnosis of green nail syndrome (GNS) was made. Treatment was initiated with topical gentamicin 0.3 % solution daily under the distal nail plates. Daily dilute vinegar soaks were also recommended.