Ann Dermatol.  2017 Oct;29(5):653-654. 10.5021/ad.2017.29.5.653.

A Case of Subungual Melanoma In Situ in an 18-Year-Old Girl Presented with Total Melanonychia

Affiliations
  • 1Department of Dermatology, Ilsan Paik Hospital, College of Medicine, Inje University, Goyang, Korea. stratum@paik.ac.kr

Abstract

No abstract available.


MeSH Terms

Adolescent*
Female*
Humans
Melanoma*

Figure

  • Fig. 1 The patient presentsd with total melanonychia with splitting and fissuring of the nail plate on the right thumbnail. Hutchinson's sign was indicated on the proximal and lateral nail folds.

  • Fig. 2 (A) Proliferation of atypical melanocyte with pagetoid spread were noted in the nail bed (H&E, ×200). (B) Biopsy specimen of the fingertip demonstrated lentiginous proliferation of hyperchromatic, pleomorphic melanocytes at the dermal-epidermal junction and pagetoid spreading in the epidermis. No dermal invasion was noted (H&E, ×200). (C) HMB-45 stain reveals atypical melanocytes with pagetoid spread in the nail bed (immunoperoxidase, ×200).


Reference

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2. Choe YS, Kim JY, Choi M, Cho KH. Clinical manifestations of longitudinal melanonychia in childhood. Korean J Dermatol. 2016; 54:167–177.
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4. Cooper C, Arva NC, Lee C, Yélamos O, Obregon R, Sholl LM, et al. A clinical, histopathologic, and outcome study of melanonychia striata in childhood. J Am Acad Dermatol. 2015; 72:773–779.
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5. Jeon SY, Hong JW, Lee S, Oh SY, Hong YS, Kim KH, et al. Long-term survival analysis and clinical follow-up in acral lentiginous malignant melanoma undergoing sentinel lymph node biopsy in korean patients. Ann Dermatol. 2014; 26:177–183.
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