AI Article Synopsis
- A 50-year-old woman was diagnosed with nail apparatus melanoma, initially mistaken for a blue nevus due to significant melanin pigmentation.
- Dermatopathological evaluation was complicated by the heavy pigmentation, leading to an inaccurate first diagnosis.
- After consultation with a specialized clinic, the correct diagnosis of invasive melanoma was confirmed, aligning with both clinical observations and dermatoscopic findings.
Article Abstract
We present a case of nail apparatus melanoma in a 50-year-old woman presenting as new and changing longitudinal melanonychia of the right thumb. Very heavy melanin pigmentation involving both the epidermis and dermis interfered with dermatopathological assessment, which initially leads to a diagnosis of nail matrix blue nevus. After consultation with a specialist multidisciplinary clinic the diagnosis was revised to invasive melanoma, a diagnosis consistent with the clinical and dermatoscopic assessment.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5315045 | PMC |
| http://dx.doi.org/10.5826/dpc.0701a13 | DOI Listing |
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