Melanonychia striata longitudinalis: approx. 0.2 cm wide, dark brown strip of the nail. nail fold very discreetly affected (see inlet). only 1 fingernail is affected. a clinical control (photo documentation) with measurement of the width of the pigment strip is recommended.
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)!
Melanonychia striata longitudinalis (detailed picture): approx. 0.4 cm wide, dark brown strip of the nail; nail fold with distinct paraungual rim; especially malignant melanoma of the nail root.
DD: Nail hematoma - here Melanonychia longitudinalis: Typical finding of a melanocytic pigmentation of the nail. Melanon grows in stripes, starting at the site of pigment formation (here the nail root is not visible) to the front. This finding is not observed in a nail hematoma. Note: the nail matrix shows a dark discoloration at the front edge of the cut (pigment is embedded in the nail matrix).
Melanonychia striata longitudinalis (course): Initial findings in 2006, control findings 3 years later; the brown longitudinal stripe, persisting since about 2004, has almost completely receded within a period of 3 years except for a discrete residual pigmentation (arrow).
Pseudo-Hutchinson, sign (hematoma). hemosiderotic pigmentation of the nail fold. age-related nail (longitudinal stripes) with fine spiltter hemorrhages.
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