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Nail hematoma T14.05
nail hematoma: blue-black discoloration of the big toe nail. sharp limitation distally. no continuous nail pigmentation (see also inlet)
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Onychomycosis (overview) B35.1
Tinea unguium. on the left thumb of a 28-year-old man localized yellow-brown to black dyschromas of the distal nail plate, increasing for more than one year. onychodystrophy beginning distally. mycologically a mixed infection of Trichophyton rubrum and Aspergillus spp. was detected.
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Nail hematoma T14.05
Nail hematoma: since exactly 6 weeks existing (trauma reminding), sharply forward limited blue-black discoloration of the big toe nail with discoloration of the epinychium; the sharp, here diagonally running dividing line without distal stripe-shaped discoloration of the nail matrix excludes a malignant melanoma!
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Melanoma acrolentiginous C43.7 / C43.7
DD: Melanoma malignes acrolentiginous: here: complicating onychomycosis with bleeding due to mold infestation; the inlet points proximally, a normally colored nail area; no Hutchinson phenomenon.
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Melanoma acrolentiginous C43.7 / C43.7
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Onychomycosis (overview) B35.1
Tinea unguium with extensive, older traumatic bleeding into the nail matrix.
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Onychomycosis (overview) B35.1
Tinea unguium. brown-yellow striped lateral nail dystrophy on the index and ring finger. cultural evidence of Trichophyton rubrum and mould species.
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Nail hematoma T14.05
hematoma, nail hematoma. blue-blackish, sharply defined pigmentation (here of the big toe nail) due to a previous traumatic event. no distal stripy nail discoloration. the absence of distal stripy nail changes excludes the important differential diagnoses "subungual malignant melanoma" and "subungual melanocytic nevus".
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Nail hematoma T14.05
Nail hematoma: sharply limited brownish discoloration of the nail; no streaky distal pigmentation of the nail (important differential diagnostic distinction to a malignant melanoma).
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Nail diseases (overview) L60.8
nail hematoma: deep black discoloration of the nail plate. discoloration of the cuticle. the distal edge of the nail is not discolored.
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Melanoma acrolentiginous C43.7 / C43.7
DD. acrolentiginous malignant melanoma: in this case nail hematoma . 6 weeks old (trauma recall), sharp blue-black discoloration of the big toe nail (marked by arrows and line) with discoloration of the epinychium (circle). arrow (right) indicates a streaky (still red) apparently fresh bleeding.
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Nail hematoma T14.05
Nail hematoma: since exactly 6 weeks existing (trauma recallable), sharply forward limited blue-black discoloration of the big toe nail (marked by arrows and line) with discoloration of the epinychium (circle); arrow (right) indicates a streaky (still red) apparently fresher bleeding
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Onychomycosis (overview) B35.1
Tinea unguium. dystrophic onychomycosis. colorful, not painful nail discoloration (yellow-blue-green) with nail thickening. part of the nail discoloration is apparently caused by bleeding. Tr. rubrum and molds (Alternaria spp.) have been detected culturally.
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Melanonychia striata L60.8
Striped black coloration of the big toe nail. The finding is unchanged since > 1 year. Here striped onychomycosis due to mold infestation of the nail. Diagnostic evidence is the normally colored proximal stripe above the nail dyschromia (see explanatory figure and reflected light microscopy).
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Nail hematoma T14.05
Nail hematomas: bilateral discoloration of the big toe nails, sharply limited to the sides and to the front.
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Onychomycosis (overview) B35.1
Tinea unguium. distal onychomycosis with crumbly destruction of the nail matrix. aphlegmatic tinea of the toe skin with low lichenification and pityriasiform scaling.
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Subungual melanoma C43.L
Melanoma malignes subunguales: Nail with stripy and periungual brown markings (Hutchinson's sign) in acrolentiginous malignant melanoma under the nail plate and in the nail bed (see Levit's ABC Rule)
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Melanoma acrolentiginous C43.7 / C43.7
DD: acrolentiginous malignant melanoma: here: Melanonychia longitudinalis:stripy (melanotic) nail pigmentation caused by a (still benign) pigment nevus localized in the (not visible) nail matrix. The anterior cut edge of the nail plate is pigment-bearing (marked with an arrow). An initial malignant melanomacan be excluded histologically with certainty.
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Nail hematoma T14.05
Hematoma, nail hematoma: growing nail hematoma . left initial situation, right 8 weeks later. note: the nail matrix shows no discoloration at the cutting edge (marked by arrows)!
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Nail diseases (overview) L60.8
Nail green-blackish: discoloration of the nail matrix due to mould infestation.