Distal phototoxic onycholysis and discoloration of the nails are known rare (1:1000) adverse effects of tetracyclines, and this should be explained whenever these substances are prescribed.

However, onycholysis and shedding of nail plate may ... and a Telfa dressing should be applied prior to bandaging the distal digit firmly. Philip R. Cohen, MD, is a Mohs Micrographic Surgery ...