Diagnostic criteria for and clinical review of melanonychia in Korean patients.
Background: Melanonychia may be the presenting sign of ungual melanoma. However, there are insufficient basic clinical data for melanonychia in Korean patients.Objective: We sought to identify basic clinical data and devise a classification algorithm for melanonychia.Methods: In all, 275 patients wi...
| Publicado en: | Journal of the American Academy of Dermatology Vol. 74; no. 6; pp. 1121 - 1128 |
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| Autores principales: | , , , , , , , |
| Formato: | Journal Article |
| Publicado: |
Elsevier B.V.
Jun2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=115365891&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 115365891 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01909622 1ZF jtl: Journal of the American Academy of Dermatology issn: 01909622 maglogo: N pubinfo: dt: Jun2016 vid: 74 iid: 6 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 115365891 115365891 NLM26830866 10.1016/j.jaad.2015.12.039 NLM26830866 115365891 ppf: 1121 ppct: 7 formats: tig: atl: Diagnostic criteria for and clinical review of melanonychia in Korean patients. aug: au: Jin, Hyunju Kim, Jeong-Min Kim, Gun-Wook Song, Margaret Kim, Hoon-Soo Ko, Hyun-Chang Kim, Byung-Soo Kim, Moon-Bum affil: Department of Dermatology, School of Medicine, Pusan National University Hospital, Busan, Korea sug: subj: Nevus Diagnosis Nail Diseases Etiology Melanoma Diagnosis Hemorrhage Complications Nail Diseases Diagnosis Skin Neoplasms Diagnosis Onychomycosis Diagnosis Lentigo Diagnosis Adult Skin Pigmentation Young Adult Skin Neoplasms Pathology Aged Retrospective Design Female Finger Injuries Complications Melanoma Pathology Male Microscopy Diagnosis, Differential Nail Diseases Pathology Middle Age Algorithms South Korea Clinical Assessment Tools Scales Adult: 19-44 years Aged: 65+ years Middle Aged: 45-64 years Female Male ab: Background: Melanonychia may be the presenting sign of ungual melanoma. However, there are insufficient basic clinical data for melanonychia in Korean patients.Objective: We sought to identify basic clinical data and devise a classification algorithm for melanonychia.Methods: In all, 275 patients with melanonychia who visited our clinic from January 2002 to August 2014 were included in this study. We reviewed medical records, clinical and dermoscopic photographs, and histopathologic findings and we assessed demographics (eg, age); medical (eg, systemic diseases), family, and trauma (eg, nail biting) history; and physical findings (eg, affected number and site).Results: The 5 most common causes of melanonychia in Korean patients were subungual hemorrhage (29.1%), nail matrix nevus (21.8%), trauma-induced pigmentation (14.5%), nail apparatus lentigo (11.6%), and ethnic-type nail pigmentation (8.0%). Melanoma was diagnosed in 6.2% of patients. Ethnic-type nail pigmentation was commonly identified.Limitations: This is a retrospective study from a single center.Conclusion: We propose a revised diagnostic algorithm for melanonychia to assist in the evaluation of this condition. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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