Junctional nevus of the nailbed germinal matrix

An uncommon case of junctional nevus of the germinal matrix of a fingernail in a young, white male is described. The patient's complaints were suggestive of malignant transformation of a nevus and excisional biopsy with primary reconstruction was done. This case illustrates the necessity for biopsy of pigmented nail lesions in white subjects for accurate diagnosis and proper treatment.