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Dermatol Online J ; 24(3)2018 Mar 15.
Article in English | MEDLINE | ID: mdl-29634884

ABSTRACT

Nail apparatus melanomas are rare and may present with a wide variety of clinical presentations. In particular, the amelanotic subtype can pose a diagnostic challenge, often leading to a poor prognosis related to a delayed diagnosis. We report a 69-year-old man with an unusual subungual amelanotic melanoma presenting as a persistent single nail dystrophy that was repeatedly treated as onychomycosis. Owing to the delayed diagnosis of the melanoma and to minimize recurrence risk, the patient underwent a partial amputation of his left thumb.


Subject(s)
Melanoma, Amelanotic/pathology , Nail Diseases/pathology , Nails/pathology , Onychomycosis/diagnosis , Skin Neoplasms/pathology , Aged , Biopsy , Diagnosis, Differential , Humans , Male , Thumb
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