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Blue lunula due to hydroxyurea.

Balasubramanian Jeevankumar1, Devinder Mohan Thappa

  • 1Department of Dermatology and STD, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.

The Journal of Dermatology
|August 21, 2003
PubMed
Summary
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Hydroxyurea, a cancer drug, can rarely cause blue lunula (nail discoloration). This case report details a patient with psoriasis experiencing this rare side effect, highlighting potential drug-induced nail changes.

Area of Science:

  • Dermatology
  • Oncology
  • Pharmacology

Background:

  • Nail lunula color changes can signal underlying health issues or medication side effects.
  • Hydroxyurea, an antitumor agent, typically causes nail hyperpigmentation, not blue discoloration.
  • Psoriasis treatment with hydroxyurea necessitates monitoring for adverse dermatological reactions.

Observation:

  • A 45-year-old male patient with chronic plaque psoriasis presented with lunular pigmentation.
  • The patient was undergoing treatment with oral hydroxyurea (500 mg twice daily).
  • Blue lunula and nail pigmentation appeared two weeks after initiating hydroxyurea therapy.

Findings:

  • Hydroxyurea administration resulted in a rare blue discoloration of the nail lunula.
  • The observed pigmentation was localized to the proximal nail area.

Related Experiment Videos

  • This case highlights an unusual adverse effect of hydroxyurea on nail appearance.
  • Implications:

    • Clinicians should be aware of rare hydroxyurea-induced lunular color changes.
    • Monitoring nail health is crucial for patients on long-term hydroxyurea treatment.
    • This finding expands the spectrum of known hydroxyurea-related dermatological side effects.