Dermoscopic features in fungal melanonychia

Summary Background Data on the dermoscopic features of fungal melanonychia are limited. Aim To identify the dermoscopic features of fungal melanonychia. Methods We reviewed patient files, clinical history and dermoscopic images of all cases with a diagnosis of fungal melanonychia seen at our dermosc...

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Veröffentlicht in:Clinical and experimental dermatology 2015-04, Vol.40 (3), p.271-278
Hauptverfasser: Kilinc Karaarslan, I., Acar, A., Aytimur, D., Akalin, T., Ozdemir, F.
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container_end_page 278
container_issue 3
container_start_page 271
container_title Clinical and experimental dermatology
container_volume 40
creator Kilinc Karaarslan, I.
Acar, A.
Aytimur, D.
Akalin, T.
Ozdemir, F.
description Summary Background Data on the dermoscopic features of fungal melanonychia are limited. Aim To identify the dermoscopic features of fungal melanonychia. Methods We reviewed patient files, clinical history and dermoscopic images of all cases with a diagnosis of fungal melanonychia seen at our dermoscopy unit within the past year. Results In total, 14 cases with 20 involved nails were reviewed. The most common type of melanonychia was melanonychia striata (7/20). Multicoloured pigmentation was observed in 19 of the nails. The main dermoscopic pattern was homogeneous pigmentation; however, black pigmented aggregates, presenting as either coarse granules or pigmented clumps, accompanied this homogeneous pigmentation in 16 lesions. Matt black pigmentation, matt white pigmentation, yellow to brown pigmentation, black reverse triangle (wider at the distal than the proximal end), superficial transverse striation and blurred appearance were the other features. Conclusions We have identified a number of dermoscopic features appearing in fungal melanonychia, which should help in diagnosis of this disease.
doi_str_mv 10.1111/ced.12552
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Aim To identify the dermoscopic features of fungal melanonychia. Methods We reviewed patient files, clinical history and dermoscopic images of all cases with a diagnosis of fungal melanonychia seen at our dermoscopy unit within the past year. Results In total, 14 cases with 20 involved nails were reviewed. The most common type of melanonychia was melanonychia striata (7/20). Multicoloured pigmentation was observed in 19 of the nails. The main dermoscopic pattern was homogeneous pigmentation; however, black pigmented aggregates, presenting as either coarse granules or pigmented clumps, accompanied this homogeneous pigmentation in 16 lesions. Matt black pigmentation, matt white pigmentation, yellow to brown pigmentation, black reverse triangle (wider at the distal than the proximal end), superficial transverse striation and blurred appearance were the other features. Conclusions We have identified a number of dermoscopic features appearing in fungal melanonychia, which should help in diagnosis of this disease.</description><identifier>ISSN: 0307-6938</identifier><identifier>EISSN: 1365-2230</identifier><identifier>DOI: 10.1111/ced.12552</identifier><identifier>PMID: 25511570</identifier><identifier>CODEN: CEDEDE</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Dermoscopy - methods ; Diagnosis, Differential ; Female ; Foot Dermatoses - pathology ; Hand Dermatoses - pathology ; Humans ; Male ; Melanoma - pathology ; Middle Aged ; Nail Diseases - pathology ; Nevus, Pigmented - pathology ; Onychomycosis - pathology ; Pigmentation Disorders - pathology ; Skin Neoplasms - pathology ; Young Adult</subject><ispartof>Clinical and experimental dermatology, 2015-04, Vol.40 (3), p.271-278</ispartof><rights>2014 British Association of Dermatologists</rights><rights>2014 British Association of Dermatologists.</rights><rights>Copyright © 2015 British Association of Dermatologists</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3912-75c77d5d070ebd0d03b791bbf4b9dd9df657acb074922bca08763e553c6d0bce3</citedby><cites>FETCH-LOGICAL-c3912-75c77d5d070ebd0d03b791bbf4b9dd9df657acb074922bca08763e553c6d0bce3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25511570$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kilinc Karaarslan, I.</creatorcontrib><creatorcontrib>Acar, A.</creatorcontrib><creatorcontrib>Aytimur, D.</creatorcontrib><creatorcontrib>Akalin, T.</creatorcontrib><creatorcontrib>Ozdemir, F.</creatorcontrib><title>Dermoscopic features in fungal melanonychia</title><title>Clinical and experimental dermatology</title><addtitle>Clin Exp Dermatol</addtitle><description>Summary Background Data on the dermoscopic features of fungal melanonychia are limited. Aim To identify the dermoscopic features of fungal melanonychia. Methods We reviewed patient files, clinical history and dermoscopic images of all cases with a diagnosis of fungal melanonychia seen at our dermoscopy unit within the past year. Results In total, 14 cases with 20 involved nails were reviewed. The most common type of melanonychia was melanonychia striata (7/20). Multicoloured pigmentation was observed in 19 of the nails. The main dermoscopic pattern was homogeneous pigmentation; however, black pigmented aggregates, presenting as either coarse granules or pigmented clumps, accompanied this homogeneous pigmentation in 16 lesions. Matt black pigmentation, matt white pigmentation, yellow to brown pigmentation, black reverse triangle (wider at the distal than the proximal end), superficial transverse striation and blurred appearance were the other features. 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Aim To identify the dermoscopic features of fungal melanonychia. Methods We reviewed patient files, clinical history and dermoscopic images of all cases with a diagnosis of fungal melanonychia seen at our dermoscopy unit within the past year. Results In total, 14 cases with 20 involved nails were reviewed. The most common type of melanonychia was melanonychia striata (7/20). Multicoloured pigmentation was observed in 19 of the nails. The main dermoscopic pattern was homogeneous pigmentation; however, black pigmented aggregates, presenting as either coarse granules or pigmented clumps, accompanied this homogeneous pigmentation in 16 lesions. Matt black pigmentation, matt white pigmentation, yellow to brown pigmentation, black reverse triangle (wider at the distal than the proximal end), superficial transverse striation and blurred appearance were the other features. Conclusions We have identified a number of dermoscopic features appearing in fungal melanonychia, which should help in diagnosis of this disease.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>25511570</pmid><doi>10.1111/ced.12552</doi><tpages>8</tpages></addata></record>
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source Oxford University Press Journals All Titles (1996-Current); MEDLINE; Alma/SFX Local Collection
subjects Adult
Aged
Aged, 80 and over
Dermoscopy - methods
Diagnosis, Differential
Female
Foot Dermatoses - pathology
Hand Dermatoses - pathology
Humans
Male
Melanoma - pathology
Middle Aged
Nail Diseases - pathology
Nevus, Pigmented - pathology
Onychomycosis - pathology
Pigmentation Disorders - pathology
Skin Neoplasms - pathology
Young Adult
title Dermoscopic features in fungal melanonychia
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