Subungual Melanoma of the Toenail Presenting as Dystrophic Discoloration: A Case Report
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Abstract
Subungual melanoma (SUM) is a rare form of cutaneous melanoma that often presents with advanced disease due to delay in diagnosis or misdiagnosis. Here we share a case of subungual melanoma that presented to us; 48-year-old man with SUM of the third toenail that was initially believed to be onychomycosis. As a result, it is concluded that structured algorithmic approach is paramount to investigating pigmented lesions of the nail in order facilitate earlier diagnosis of SUM, to limit the possibility of life-threatening complications.
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