Ethnic nail pigmentations and differential diagnoses

Pigmentary nail changes may have a variety of causes, e. g., chronic inflammation, and occur more often in patients of African descent compared to Caucasians. Subungual malignant melanoma is the most important differential diagnosis and must be ruled out in any case. Dermatoscopy might be helpful. I...

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Bibliographic Details
Published in:Hautarzt 2017-01, Vol.68 (1), p.64-66
Main Authors: Dumke, A-K, Gina, M, Goetze, S, Schliemann, S, Elsner, P
Format: Article
Language:ger
Subjects:
Adult
Dermoscopy - methods
Diagnosis, Differential
Female
Humans
Nail Diseases - diagnosis
Nail Diseases - ethnology
Nail Diseases - therapy
Pigmentation Disorders - diagnosis
Pigmentation Disorders - ethnology
Pigmentation Disorders - therapy
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Summary:Pigmentary nail changes may have a variety of causes, e. g., chronic inflammation, and occur more often in patients of African descent compared to Caucasians. Subungual malignant melanoma is the most important differential diagnosis and must be ruled out in any case. Dermatoscopy might be helpful. If no biopsy is taken, clinical follow-ups are necessary at short intervals. In case of chronic paronychia, optimization of occupational skin protection measures may contribute to the healing process.
ISSN:1432-1173
DOI:10.1007/s00105-016-3846-7