Acral melanoma with hyperkeratosis mimicking a pigmented wart

Acral lentiginous melanoma (ALM) of the sole sometimes has a hyperkeratotic appearance and mimics a pigmented wart. We report a case of an 81-year-old woman with an ALM on the left sole with hyperkeratosis. Due to its presentation it was difficult to make a correct diagnosis at the beginning. Final...

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Autores principales: Misaki Ise, Fumiyo Yasuda, Izumi Konohana, Keiko Miura, Masaru Tanaka
Formato: article
Lenguaje:EN
Publicado: Mattioli1885 2013
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Acceso en línea:https://doaj.org/article/9330b7e6e6494a088c5658d9dcd89bba
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Sumario:Acral lentiginous melanoma (ALM) of the sole sometimes has a hyperkeratotic appearance and mimics a pigmented wart. We report a case of an 81-year-old woman with an ALM on the left sole with hyperkeratosis. Due to its presentation it was difficult to make a correct diagnosis at the beginning. Finally we noticed several small, pigmented macules around the wart-like lesion with the parallel ridge pattern on dermoscopy, strongly suggesting acral melanoma. When a hyperkeratotic pigmented lesion on the sole is encountered, one should rule out melanoma by careful examination of the periphery of the lesion. Dermoscopy is a helpful adjunct for the diagnosis of an unusual case like this.