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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!
__________________ Craig Payne
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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.