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2022, Número 1

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Dermatología Cosmética, Médica y Quirúrgica 2022; 20 (1)


Síndrome de las uñas verdes: una revisión

Sierra-Maeda KY, Segundo-López LD, Vega DC, Juárez DÉR, Arenas R

Idioma: Español
Referencias bibliográficas: 52
Paginas: 78-85
Archivo PDF: 584.48 Kb.


RESUMEN

El síndrome de uñas verdes, o síndrome Goldman-Fox, originalmente fue descrito en 1944 por Goldman y Fox, es un padecimiento ungueal poco frecuente, los conocimientos sobre su fisiopatología, etiología y tratamiento se basan en pocos reportes de casos. Se caracteriza por un cambio en la coloración de la lámina ungueal, onicólisis y paroniquia, entre otras alteraciones que pueden variar de acuerdo con la etiología. Las causas son principalmente infecciones bacterianas en las que destaca Pseudomonas aeruginosa, sin embargo, se han reportado levaduras como Candida spp., hongos no dermatofitos y bacilos gram negativos diferentes a Pseudomonas spp., así como productos químicos.
El diagnóstico se basa en la exploración clínica, medios de cultivo, y recientemente se destaca la importancia de la dermatoscopia en su identificación. El tratamiento varía de acuerdo con la etiología y se incluyen tratamientos con antibióticos tópicos, o sistémicos, antimicóticos y medidas generales.


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