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Introduction: Dermatological conditions affecting the nails can manifest differently in individuals with distinct skin tones. This often leads to difficulty in the recognition of nail diseases, especially in people with skin of color (SoC), who are not well represented in the literature.

Objectives: Our aim was to provide dermatologists with useful clues for prompt recognition and diagnosis of nail psoriasis (NPso) and nail lichen planus (NLP) in people with SoC.

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Introduction: Onychomycosis is the most common nail infection, predominantly caused by spp., and is divided into four main types. Confirmatory testing is crucial, but obtaining an adequate sample may be challenging.

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Article Synopsis
  • Squamous cell carcinoma of the nail unit (nSCC) is a rare and serious skin cancer that typically affects darker-skinned individuals, leading to worse health outcomes.
  • * A systematic review of past research revealed that most nSCC tumors were found on fingernails, particularly the right third finger, and symptoms could persist for 1 month to 7 years before diagnosis.
  • * Common treatments included Mohs surgery and amputation, but the study highlights a need for better awareness about nSCC to improve diagnosis and outcomes in these skin types.
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Article Synopsis
  • * Various examinations, including nail clipping and onychoscopy, revealed abnormalities such as nail plate thinning, hyperkeratosis, and irregular ridging.
  • * A biopsy confirmed the presence of malignant onychopapilloma through signs like cellular atypia, matrix metaplasia, and increased Ki-67 staining, although it tested negative for HPV.
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Long-term outcomes after amputation and sentinel node biopsy for subungual melanoma: A single-institution series.

Am J Surg

May 2024

Oregon Health & Science University, Department of Surgery, Division of Surgical Oncology, Portland, OR, 97239, USA; OHSU Knight Cancer Institute, Portland, OR, 97239, USA.

Background: Subungual melanoma (SUM) is a rare tumor with historically poor outcomes. Thus, the benefit of proximal versus distal amputation in SUM remains unclear.

Methods: We performed a retrospective review of our prospectively-maintained institutional melanoma database, including SUM and non-subungual acral melanoma (AM) patients who underwent sentinel lymph node biopsy (SLNB) between 1999 and 2022.

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