REVIEW ARTICLENo Access

LONGITUDINAL MELANONYCHIA: DETECTION AND MANAGEMENT OF NAIL MELANOMA

Department of Dermatology, The Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA

Department of Orthopaedic Surgery, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA

Correspondence to: Dr. Sandeep Mannava, Department of Orthopaedic Surgery, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157, USA.

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L. Andrew Koman

Department of Orthopaedic Surgery, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA

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Leslie Robinson-Bostom

Department of Dermatology, The Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA

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, and

Nathaniel Jellinek

Department of Dermatology, The Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA

Division of Dermatology, University of Massachusetts Medical School, Worcester, Massachusetts, USA

Dermatology Professionals Inc, East Greenwich, Rhode Island, USA

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https://doi.org/10.1142/S0218810413300015Cited by:28 (Source: Crossref)

Abstract

Malignant melanoma of the nail confers a higher mortality rate compared to other cutaneous melanomas, which is often attributable to delayed diagnosis. Two-thirds of nail melanomas present as longitudinal melanonychia (LM), longitudinally-oriented brown-black bands of pigment in the nail plate. This article delineates the appropriate clinical approach toward evaluation and management of a patient with longitudinal melanonychia, which includes determining risk factors for melanoma, recognizing scenarios in which biopsy is indicated, selecting the appropriate biopsy technique, and managing a patient in whom the diagnosis of nail melanoma has been made.

Keywords:

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