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Related Experiment Videos

Argyria associated with colloidal silver supplementation.

Jeffrey K McKenna1, Christopher M Hull, John J Zone

  • 1Department of Dermatology, University of Utah, Salt Lake City, UT 84132, USA.

International Journal of Dermatology
|July 4, 2003
PubMed
Summary
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Colloidal silver supplementation can cause slate-gray nail discoloration in patients with diabetes. This asymptomatic finding highlights a potential side effect of alternative therapies.

Area of Science:

  • Dermatology
  • Toxicology
  • Internal Medicine

Background:

  • Colloidal silver is used as a dietary supplement for various health conditions, including diabetes.
  • Long-term ingestion of silver can lead to argyria, a condition characterized by gray or blue-gray skin discoloration.
  • Nail discoloration is an uncommon but reported manifestation of silver deposition.

Observation:

  • A 65-year-old male with type II diabetes and hypertension presented with asymptomatic, slate-gray discoloration of the fingernail lunulae.
  • The patient reported a 1-year history of this nail change.
  • He had been taking colloidal silver (140 ppm) for 2 years as a diabetes therapy.

Findings:

  • The physical examination confirmed slate-gray discoloration specifically affecting the lunulae of the fingernails.

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  • No other signs of argyria were observed on the skin, mucous membranes, or sclerae.
  • The discoloration correlated with the patient's history of colloidal silver supplementation.
  • Implications:

    • This case illustrates a distinct clinical presentation of exogenous ochronosis or argyria localized to the nails.
    • It underscores the importance of a thorough medication and supplement history in diagnosing dermatological conditions.
    • Healthcare providers should be aware of potential adverse effects associated with alternative therapies like colloidal silver.