“…Our retrospective, observational study was conducted from January 2008 to December 2022. All consecutive YNS-diagnosed patients were included after exclusion of differential diagnoses, e.g., nail discoloration caused by exogenous products able to modify nails, like drugs ( d -penicillamine, bucillamine, tiopronin), mycosis (Candida, Aspergillus ), nail infection ( Pseudomonas aeruginosa responsible for chloronychia (green rather than yellow nail discoloration), professional causes (homemakers, barbers, dishwashers, bakers, medical personnel), and, finally, toxic causes, such as pesticides, chromium salts, and epoxy systems [11, 14]. Other very rare causes of yellow nail discoloration in children and adults were excluded, e.g., lichen planus, psoriasis or alopecia areata, chronic paronychia, onychogryphosis, and acquired pachyonychia [11].…”