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Skier’s toe: traumatic onycholysis complicated by Pseudomonas chloronychia
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  1. Nicholas Matheson1,
  2. Michael Weekes2,
  3. Sian Coggle1
  1. 1
    University of Cambridge Clinical School, Department of Infectious Diseases, Ward N2, Addenbrooke’s Hospital, Cambridge, CB2 2QQ, UK
  2. 2
    University of Cambridge Clinical School, Department of Medicine, Level 5 Box 157, Addenbrooke’s Hospital, Cambridge, CB2 2QQ, UK
  1. Nicholas Matheson, nicholas.matheson{at}addenbrookes.nhs.uk

https://doi.org/10.1136/bcr.07.2009.2074

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    One of the authors suffered “black toe” on a skiing trip.1 Vigorous fore-aft movements of the feet caused the halluces to strike repeatedly the ends of the ski boots resulting in recurrent micro-trauma and, eventually, subungual haematoma formation and onycholysis. Examination 3 months later revealed the nail of the right hallux to have developed a green discolouration accompanied by non-tender paronychia (fig 1). Microscopy and …

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