Nail Dystrophy Assay Includes Green Nail Syndrome Test

Pseudomonas aeruginosa Test for Green Nail Syndrome2018-07-26T09:33:53+00:00

Now Available from Bako Diagnostics

The most common cause of bacterial nail infection, Pseudomonas aeruginosa, is now included in our onychodystrophy panel*

*Pseudomonas aeruginosa testing not currently available in the State of New York.

INFECTIONDESIRED OUTCOME

Green nail syndrome, characterized by a greenish black discoloration of the nail, is caused by the growth and colonization of P. aeruginosa. Predisposing conditions can include: onycholysis, onychomycosis, diabetes mellitus, as well as occupations where feet are frequently exposed to wet conditions.

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The addition of P. aeruginosa to our onychodystrophy panel enables clinicians to identify one of the non-fungal causes of infectious onychodystrophy and treat it appropriately.

–  Dr. Wayne L. Bakotic,
Dermatopathologist and BakoDx Co-Founder

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The Importance of Including the Detection of Green Nail Syndrome (GNS) with PCR in Onychodystophy Testing

  • Fungal infection stimulates bacterial colonization within the nail and overgrowth of P. aeruginosa in culture inhibits the isolation of fungus1

  • Screening for fungal coinfections and, if needed antifungal treatment, in patients with GNS is critical1

  • Molecular testing is needed to detect GNS because of a strong relation between fungal and P. aeruginosa nail infection.2

  • Coinfection with “Trichophytan rubrum and Pseudomonas, (are) a common occurrence.”3

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References:

  1. Müller S, Ebnöther M, Itin P, Green Nail Syndrome (Pseudomonas aeruginosa Nail Infection): Two Cases Successfully Treated with Topical Nadifloxacin, an Acne Medication. Case Rep Dermatol 2014;6:180-184
  2. Alessandrini A, Starace M, Piraccini B, M, Dermoscopy in the Evaluation of Nail Disorders. Skin Appendage Disord 2017;3:70-82
  3. Anderson, Bryan, and Christie Regula. “Green Nail Syndrome (GNS, Pseudomonas Nail Infection, Chloronychia, Green Striped Nails, Chromonychia).” Dermatology Advisor, www.dermatologyadvisor.com/dermatology/green-nail-syndrome-gns-pseudomonas-nail-infection-chloronychia-green-striped-nails-chromonychia/article/691573/.
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