
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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Melanonychia striata L60.8
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.
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Splinter hemorrhages
Splinter hemorrhage: Fresh splinter hemorrhage in previously known progressive systemic scleroderma.
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Nail diseases (overview) L60.8
Nail hematoma: " growing out" nail hematoma, an important differential diagnosis to subungual malignant melanoma.
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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)!

Nail hematoma T14.05
Nail hematoma: direct comparison of the outgrowing nail hematoma. Lower left after 8 weeks. On the right the reflected light microscopic images.

Nail diseases (overview) L60.8
Nail hematoma: sharply limited brown discoloration of the nail matrix; no longitudinal striations

Nail hematoma T14.05
Hematoma, nail hematoma: clearly limited nail discoloration in all directions, see next figure with comparison after 8 weeks.
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Melanonychia striata L60.8
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.
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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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Splinter hemorrhages
Splinter hemorrhage: Reflected light microscopic image with a few days old splinter hemorrhage.

Nail hematoma T14.05
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).
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Melanoma cutaneous C43.-
Differential diagnosis of discoloration of the nail: Melanocytic neoplasms of the nail matrix always lead to longitudinal striation of the nail plate.
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Melanonychia striata L60.8
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).
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Hutchinson sign i C43.6
Pseudo-Hutchinson, sign (hematoma). hemosiderotic pigmentation of the nail fold. age-related nail (longitudinal stripes) with fine spiltter hemorrhages.
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Nail hematoma T14.05
Differential diagnosis of "nail hematoma": All melanocytic neoplasms of the nail matrix lead to striped pigmentation of the nail plate.