• Dermatologic clinics · Apr 2015

    Review

    Tips for diagnosis and treatment of nail pigmentation with practical algorithm.

    • Bianca Maria Piraccini, Emi Dika, and Pier Alessandro Fanti.
    • Division of Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Via Massarenti 1, Bologna 40138, Italy. Electronic address: biancamaria.piraccini@unibo.it.
    • Dermatol Clin. 2015 Apr 1; 33 (2): 185-95.

    AbstractThe observation of a black-brown pigmentation of the nail is often alarming for the patient and for the clinician, as they are aware that it can be a possible clinical manifestation of melanoma of the nail apparatus. Luckily, however, nail melanoma is a much less frequent cause of brown-black nail color than other melanocytic and nonmelanocytic pigmentations, which include subungual hematoma, exogenous pigmentations, and melanonychia due to benign conditions. A correct clinical history and careful examination help the clinician to distinguish the different conditions and to decide the correct management of melanonychia both in children and in adults.Copyright © 2015 Elsevier Inc. All rights reserved.

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