Melanonychia

Melanonychia, or melanin-derived brown-to-black nail pigmentation, is a diagnostic challenge for clinicians. The most serious disease of the nail unit, melanoma, primarily presents with melanonychia. However, melanonychia most often occurs as a result of benign etiologies such as nail matrix melanoc...

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Main Authors: Julie Jefferson, Phoebe Rich
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Dermatology Research and Practice
Online Access:http://dx.doi.org/10.1155/2012/952186
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author Julie Jefferson
Phoebe Rich
author_facet Julie Jefferson
Phoebe Rich
author_sort Julie Jefferson
collection DOAJ
description Melanonychia, or melanin-derived brown-to-black nail pigmentation, is a diagnostic challenge for clinicians. The most serious disease of the nail unit, melanoma, primarily presents with melanonychia. However, melanonychia most often occurs as a result of benign etiologies such as nail matrix melanocytic activation, nail matrix melanocytic hyperplasia, and nail invasion by melanin-producing pathogens. Regrettably, patients with nail apparatus melanoma are often initially misdiagnosed, and due to diagnostic delays of an average of 2 years, melanoma of the nail unit carries a poor prognosis. Having a thorough knowledge of the various causes of melanonychia and using a systematic approach when evaluating brown-to-black nail pigmentation may help prevent misdiagnosis and thereby improve prognosis.
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series Dermatology Research and Practice
spelling doaj-art-769e7450cf1f48afa9a76ee34bbe6d792025-02-03T05:45:38ZengWileyDermatology Research and Practice1687-61051687-61132012-01-01201210.1155/2012/952186952186MelanonychiaJulie Jefferson0Phoebe Rich1Oregon Health and Science University, Portland, OR, USAOregon Health and Science University, Portland, OR, USAMelanonychia, or melanin-derived brown-to-black nail pigmentation, is a diagnostic challenge for clinicians. The most serious disease of the nail unit, melanoma, primarily presents with melanonychia. However, melanonychia most often occurs as a result of benign etiologies such as nail matrix melanocytic activation, nail matrix melanocytic hyperplasia, and nail invasion by melanin-producing pathogens. Regrettably, patients with nail apparatus melanoma are often initially misdiagnosed, and due to diagnostic delays of an average of 2 years, melanoma of the nail unit carries a poor prognosis. Having a thorough knowledge of the various causes of melanonychia and using a systematic approach when evaluating brown-to-black nail pigmentation may help prevent misdiagnosis and thereby improve prognosis.http://dx.doi.org/10.1155/2012/952186
spellingShingle Julie Jefferson
Phoebe Rich
Melanonychia
Dermatology Research and Practice
title Melanonychia
title_full Melanonychia
title_fullStr Melanonychia
title_full_unstemmed Melanonychia
title_short Melanonychia
title_sort melanonychia
url http://dx.doi.org/10.1155/2012/952186
work_keys_str_mv AT juliejefferson melanonychia
AT phoeberich melanonychia