Sánchez-Salas MP, García SI, Giménez SH, Grasa JMP, Carapeto MPFJ

Language: Spanish
References: 19
Page: 51
PDF size: 207.15 Kb.

ABSTRACT

Diagnosis of subungual melanoma is usually difficult and often is a delayed diagnosis. A patient with nail dystrophy that was diagnosed as a onychomicosis by means of mycological culture is reported. The patient don´t responded to the treatment during three weeks, so, we made a biopsy that showed the diagnosis of acral lentiginous melanoma. In this article, we review the world literature on subungual melanoma and arranged the available information in a system for the clinical detection of subungual melanoma. We believe that dermoscopic examination of the nail plate in cases of melanonychia provides useful information that could help to decide if a nail apparatus biopsy should be performed; however, the absolute diagnosis of subungual melanoma is made by means of a biopsy.

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