Melanonychia
Hatice Gamze DEMİRDAĞa, Bengü Nisa AKAYb
aSerbest Hekim, Ankara, TÜRKİYE
bAnkara Üniversitesi Tıp Fakültesi, Deri ve Zührevi Hastalıkları ABD, Ankara, TÜRKİYE
ABSTRACT
Melanonychia refers to a black-brown-grey pigmentation of the nail plate. It is caused by the presence of melanin and commonly appears as a longitudinal band (longitudinal melanonychia). Differential diagnosis encompasses benign and malignant conditions. Nail dermatoscopy (onychoscopy) is a reliable diagnostic tool that provides useful information about nail pigmentations. In this article, the causes, clinical and dermatoscopic features of melanonychia have been reviewed through an algorithm.
Keywords: Melanonychia; dermatoscopy; onychoscopy; nail diseases; melanoma
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Referanslar
- Tosti A, Piraccini BM, de Farias Dc. Dealing with melanonychia. Semin cutan Med Surg. 2009;28(1):49-54. [Crossref] [PubMed]
- Starace M, Alessandrini A, Brandi N, Piraccini BM. Use of Nail Dermoscopy in the Management of Melanonychia: Review. Dermatol Pract concept. 2019;9(1):38-43. [Crossref] [PubMed] [PMC]
- Piraccini BM, Alessandrini A, Starace M. onychoscopy: Dermoscopy of the Nails. Dermatol clin. 2018;36(4):431-8. [Crossref] [PubMed]
- Braun RP, Baran R, le Gal FA, Dalle S, Ronger S, Pandolfi R, et al. Diagnosis and management of nail pigmentations. J Am Acad Dermatol. 2007;56(5):835-47. [Crossref] [PubMed]
- Thomas l, Dalle S. Dermoscopy provides useful information for the management of melanonychia striata. Dermatol Ther. 2007;20(1):3-10. [Crossref] [PubMed]
- Piraccini BM, Dika E, Fanti PA. Tips for diagnosis and treatment of nail pigmentation with practical algorithm. Dermatol clin. 2015;33(2):185-95. [Crossref] [PubMed]
- Haenssle HA, Blum A, Hofmann-Wellenhof R, Kreusch J, Stolz W, Argenziano G, et al. When all you have is a dermatoscope- start looking at the nails. Dermatol Pract concept. 2014;4(4):11-20. [Crossref] [PubMed] [PMC]
- Akay BN. Tırnak Hastalıkları. özdemir F, editör. Dermoskopi Atlası. 1. Baskı. Ankara: Dünya Tıp Kitabevi. 2017. p317-50.
- Di chiacchio N, Ruben BS, loureiro WR. longitudinal melanonychias. clin Dermatol. 2013;31(5):594-601. [Crossref] [PubMed]
- Di chiacchio ND, Farias Dc, Piraccini BM, Hirata SH, Richert B, Zaiac M, et al. consensus on melanonychia nail plate dermoscopy. An Bras Dermatol. 2013;88(2):309-13. [Crossref] [PubMed] [PMC]
- Kilinc Karaarslan ı, Acar A, Aytimur D, Akalin T, ozdemir F. Dermoscopic features in fungal melanonychia. clin Exp Dermatol. 2015;40(3):271-8. [Crossref] [PubMed]
- Ronger S, Touzet S, ligeron c, Balme B, viallard AM, Barrut D, et al. Dermoscopic examination of nail pigmentation. Arch Dermatol. 2002;138(10):1327-33. [Crossref] [PubMed]
- Phan A, Dalle S, Touzet S, Ronger-Savlé S, Balme B, Thomas l. Dermoscopic features of acral lentiginous melanoma in a large series of 110 cases in a white population. Br J Dermatol. 2010;162(4):765-71. [Crossref] [PubMed]
- Singal A, Arora R. Nail as a window of systemic diseases. ındian Dermatol online J. 2015;6(2):67-74. [Crossref] [PubMed] [PMC]
- lencastre A, lamas A, Sá D, Tosti A. onychoscopy. clin Dermatol. 2013;31(5):587-93. [Crossref] [PubMed]
- Koga H. Dermoscopic evaluation of melanonychia. J Dermatol. 2017;44(5):515-7. [Crossref] [PubMed]
- Koga H, Saida T, Uhara H. Key point in dermoscopic differentiation between early nail apparatus melanoma and benign longitudinal melanonychia. J Dermatol. 2011;38(1):45-52. [Crossref] [PubMed]
- 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(5):773-9. [Crossref] [PubMed]
- Koga H, Yoshikawa S, Shinohara T, le Gal FA, cortés B, Saida T, et al. long-term Followup of longitudinal Melanonychia in children and Adolescents Using an objective Discrimination ındex. Acta Derm venereol. 2016;96(5):716-7. [Crossref] [PubMed]
- Benati E, Ribero S, longo c, Piana S, Puig S, carrera c, et al. clinical and dermoscopic clues to differentiate pigmented nail bands: an ınternational Dermoscopy Society study. J Eur Acad Dermatol venereol. 2017;31(4):732-6. [Crossref] [PubMed]
- Ko D, oromendia c, Scher R, lipner SR. Retrospective single-center study evaluating clinical and dermoscopic features of longitudinal melanonychia, ABcDEF criteria, and risk of malignancy. J Am Acad Dermatol. 2019;80(5):1272-83. [Crossref] [PubMed]
- Baran R, Kechijian P. Hutchinson's sign: a reappraisal. J Am Acad Dermatol. 1996;34(1):87-90. [Crossref] [PubMed]
- Grover c, Jakhar D. Diagnostic utility of onychoscopy: review of literature. ındian J Dermatopathol Diagn Dermatol. 2017;4(2):31-40. [Crossref]
- Hirata SH, Yamada S, Enokihara MY, Di chiacchio N, de Almeida FA, Enokihara MSSM, et al. Patterns of nail matrix and bed of longitudinal melanonychia by intraoperative dermatoscopy. J Am Acad Dermatol. 2011;65(2):297-303. [Crossref] [PubMed]
- Göktay F, Güneş P, Yaşar ş, Güder H, Aytekin S. New observations of intraoperative dermoscopic features of the nail matrix and bed in longitudinal melanonychia. ınt J Dermatol. 2015;54(10):1157-62. [Crossref] [PubMed]