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Life-threatening onychomycosis imitator
A A Chokoeva1, G Tchernev2, J W Patterson3
1Onkoderma-Policlinic for Dermatology and Dermatologic Surgery, Sofia Bulgaria.
Abstract:
Although onychomycosis is one of the most common dermatological conditions, the exact diagnosis should be carefully confirmed, especially in therapy-resistant cases. Considering the potential for development of various nail disorders that could resemble the clinical picture of typical onychomycosis, the performing of a diagnostic biopsy is sometimes of paramount importance, in order to exclude the possibility of a life threatening onychomycosis imitators. Here, we present a case of subungual malignant melanoma, diagnosed by histological examination in a patient who had received long term, ineffective treatment for onychomycosis.
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