• Dermatologic clinics · Jul 2006

    Review

    Pigmented nail disorders.

    • Josette André and Nadine Lateur.
    • Department of Dermatology, CHU Saint-Pierre, Brugmann, HUDERF, 129, Bd de Waterloo, B-1000 Brussels, Free University of Brussels, Belgium. josette_andre@stpierre-bru.be
    • Dermatol Clin. 2006 Jul 1; 24 (3): 329-39.

    AbstractNail pigmentation is defined by the presence of melanin in the nail plate. It most frequently has the appearance of a longitudinal pigmented band, called longitudinal mel-anonychia (LM). LM is an important aspect of ungual pathology because it can be the first sign of nail apparatus melanoma. The aim of this article is to help distinguish those types of melanonychia that are worrisome and should lead to biopsy from those that are reasonably reassuring and need only be followed clinically. Histology, differential diagnosis, and biopsy techniques also are considered.

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