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"Hitting the nail on the head".

A Fries1, I Higginson

  • 1The Sickbay, 42 Commando Royal Marines, Bickleigh Barracks, Plymouth, UK.

Emergency Medicine Journal : EMJ
|December 22, 2006
PubMed
Summary
This summary is machine-generated.

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Subungual malignant melanoma, a rare cancer, was diagnosed in an asymptomatic patient presenting with a non-healing injury. This case highlights the importance of considering rare diagnoses, even after minor trauma.

Area of Science:

  • Oncology
  • Dermatology
  • Emergency Medicine

Background:

  • Subungual malignant melanoma is a rare cancer, often diagnosed at advanced stages.
  • Emergency departments infrequently encounter initial presentations of malignancy.
  • Differential diagnosis for destructive bone lesions can be challenging.

Observation:

  • A patient presented to the emergency department with a non-healing traumatic injury.
  • The patient was otherwise asymptomatic.
  • Investigation of the injury revealed subungual malignant melanoma.

Findings:

  • A rare case of subungual malignant melanoma was diagnosed.
  • The presentation was atypical, masked by a history of minor trauma.
  • The diagnosis was incidental to the evaluation of a traumatic injury.

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Implications:

  • This case underscores the need for thorough investigation of persistent injuries, regardless of apparent cause.
  • It highlights subungual malignant melanoma as a differential diagnosis for destructive bone lesions.
  • Emergency physicians should maintain a broad differential diagnosis for seemingly minor complaints that fail to resolve.