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.
Glomus tumor. reflected light microscopy: Livid striped vascular drawing below the nail plate in the area of the lunula and the eponychium. in this area a punctual, strong pressure pain can be induced.
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)!
Glomus tumor. solitary, painful, reddish discoloration under the nail of the right ring finger in a 43-year-old female patient. parallel stabbing pain occurred, which occasionally radiated into the upper arm.
melanoma, malignant, acrolentiginous. incident light microscopy. streaky, brown (melanotic) hyperpigmentation of the nail plate. complicating superimposition: fresh, red splatter-like bleeding after still recallable trauma).
Melanonychia striata longitudinalis: DD- subungual malignant melanoma; look for the discoloration of the cuticle (so-called Hutchinson's sign), as an indication of involvement of the nail root
Nail hematoma: sharply distally limited discoloration of the big toe nail. nail matrix at the distal cutting edge unchanged. no longitudinal striation of the nail.
Leuconychia striata: General view: Whitish horizontal stripes in the nail plates in a 48-year-old female patient with Raynaud's symptoms existing since 6 months; slight acrocyanosis.
Meese transverse ligaments: Pre-existing Sézary syndrome. Distinct whitish transverse ligaments of the nails, of which proximally situated discrete leukonychia.
Pseudo-Hutchinson, sign (hematoma). hemosiderotic pigmentation of the nail fold. age-related nail (longitudinal stripes) with fine spiltter hemorrhages.
Erythronychia, localized longitudinal. idiopathic, solitary, painless, red longitudinal striation of the left thumbnail plate with a low-grade, V-shaped retraction and splinter hemorrhage in a 29-year-old female patient.
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