Use of Nail Dermoscopy in the Management of Melanonychia

The term melanonychia describes a black-brown-gray pigmentation of the nail plate that, in most cases, appears as a longitudinal band. Melanonychia can be observed at any age, affecting one digit or several digits, in both fingernails and toenails. Its causes can be difficult to differentiate clini...

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Autores principales:	Michela Starace, Aurora Alessandrini, Nicolò Brandi, Bianca Maria Piraccini
Formato:	article
Lenguaje:	EN
Publicado:	Mattioli1885 2019
Materias:	pigmentation melanonychia dermoscopy nail Dermatology RL1-803
Acceso en línea:	https://doaj.org/article/43825649f14c4d1da165e41729fe12d1
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spelling	oai:doaj.org-article:43825649f14c4d1da165e41729fe12d12021-11-17T08:29:45ZUse of Nail Dermoscopy in the Management of Melanonychia10.5826/dpc.0901a102160-9381https://doaj.org/article/43825649f14c4d1da165e41729fe12d12019-01-01T00:00:00Zhttp://dpcj.org/index.php/dpc/article/view/556https://doaj.org/toc/2160-9381 The term melanonychia describes a black-brown-gray pigmentation of the nail plate that, in most cases, appears as a longitudinal band. Melanonychia can be observed at any age, affecting one digit or several digits, in both fingernails and toenails. Its causes can be difficult to differentiate clinically and depend on the number of bands and on their color, edge, and width. For this reason, especially in adults and when the pigmentation is localized in one single digit, biopsy and histopathological examination still represent the gold standard for a definitive diagnosis. Dermoscopy should be used routinely in the evaluation of a pigmented nail, as it provides important information for the management of melanonychia and can help avoid unnecessary nail biopsies. In cases of melanonychia it is important to establish whether the pigment is melanin or not and to determine whether the pigmentation of melanin is due to activation or proliferation and whether it is benign or malignant. Michela StaraceAurora AlessandriniNicolò BrandiBianca Maria PiracciniMattioli1885articlepigmentationmelanonychiadermoscopynailDermatologyRL1-803ENDermatology Practical & Conceptual, Vol 9, Iss 1 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	pigmentation melanonychia dermoscopy nail Dermatology RL1-803
spellingShingle	pigmentation melanonychia dermoscopy nail Dermatology RL1-803 Michela Starace Aurora Alessandrini Nicolò Brandi Bianca Maria Piraccini Use of Nail Dermoscopy in the Management of Melanonychia
description	The term melanonychia describes a black-brown-gray pigmentation of the nail plate that, in most cases, appears as a longitudinal band. Melanonychia can be observed at any age, affecting one digit or several digits, in both fingernails and toenails. Its causes can be difficult to differentiate clinically and depend on the number of bands and on their color, edge, and width. For this reason, especially in adults and when the pigmentation is localized in one single digit, biopsy and histopathological examination still represent the gold standard for a definitive diagnosis. Dermoscopy should be used routinely in the evaluation of a pigmented nail, as it provides important information for the management of melanonychia and can help avoid unnecessary nail biopsies. In cases of melanonychia it is important to establish whether the pigment is melanin or not and to determine whether the pigmentation of melanin is due to activation or proliferation and whether it is benign or malignant.
format	article
author	Michela Starace Aurora Alessandrini Nicolò Brandi Bianca Maria Piraccini
author_facet	Michela Starace Aurora Alessandrini Nicolò Brandi Bianca Maria Piraccini
author_sort	Michela Starace
title	Use of Nail Dermoscopy in the Management of Melanonychia
title_short	Use of Nail Dermoscopy in the Management of Melanonychia
title_full	Use of Nail Dermoscopy in the Management of Melanonychia
title_fullStr	Use of Nail Dermoscopy in the Management of Melanonychia
title_full_unstemmed	Use of Nail Dermoscopy in the Management of Melanonychia
title_sort	use of nail dermoscopy in the management of melanonychia
publisher	Mattioli1885
publishDate	2019
url	https://doaj.org/article/43825649f14c4d1da165e41729fe12d1
work_keys_str_mv	AT michelastarace useofnaildermoscopyinthemanagementofmelanonychia AT auroraalessandrini useofnaildermoscopyinthemanagementofmelanonychia AT nicolobrandi useofnaildermoscopyinthemanagementofmelanonychia AT biancamariapiraccini useofnaildermoscopyinthemanagementofmelanonychia
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Use of Nail Dermoscopy in the Management of Melanonychia

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