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Tobacco staining of nails - Nail and Distal Digit
Other Resources UpToDate PubMed

Tobacco staining of nails - Nail and Distal Digit

Contributors: Shari Lipner MD, PhD, Bertrand Richert MD, Robert Baran MD, Susan Burgin MD
Other Resources UpToDate PubMed

Synopsis

Heavy smokers can present with a yellow or chestnut brown hue on the nail plate of the first 3 digits that extends along the ulnar lateral nail fold and adjacent pulp of the first 2 digits and the radial nail fold of the third finger.

Related topic: Nicotine dependence

Codes

ICD10CM:
L60.8 – Other nail disorders

SNOMEDCT:
299667005 – Stained nail

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

Other causes of nail plate staining:
  • Yellow nail syndrome – In yellow nail syndrome, typically all nails have yellow discoloration, there is increased transverse curvature, and the nail does not grow or it grows much slower than normal. There is also associated lymphedema and pulmonary abnormalities.
  • Onychomycosis
  • Psoriasis
  • Long-term tetracycline therapy
  • Scopulariopsis infection
  • AL amyloidosis
  • Diabetes mellitus type 2
  • Jaundice
  • Exogenous ochronosis

Best Tests

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Management Pearls

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Therapy

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References

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Last Reviewed:07/24/2019
Last Updated:11/07/2019
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Patient Information for Tobacco staining of nails - Nail and Distal Digit
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Contributors: Medical staff writer
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Tobacco staining of nails - Nail and Distal Digit
A medical illustration showing key findings of Tobacco staining of nails : Cigarette smoking, Fingernails
Clinical image of Tobacco staining of nails - imageId=1665608. Click to open in gallery.  caption: 'Yellow-brown staining of the distal part of the nail plate. Onychorrhexis is also apparent.'
Yellow-brown staining of the distal part of the nail plate. Onychorrhexis is also apparent.
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