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 © 2001-2009, DermAtlas | Image Name: | melanonychia_3_090731 | File Type: | jpg | |
| Diagnosis: | MELANONYCHIA | Category: | nail disorders / hyperpigmentation | ||
| Body Site: | nail, hand | Age: | 11 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | 1 cm wide brown longitudinal band with some increased pigmentation of the cuticle | ||||
| Comments: | This 11-year-old girl developed a slowly expanding longitudinal hyperpigmented patch on the right middle finger. A skin biopsy was scheduled. | ||||
| Related Images: | All related Images melanonychia_1_090731 melanonychia_2_090731 | ||||
 © 2001-2009, DermAtlas | Image Name: | melanonychia_2_090731 | File Type: | jpg | |
| Diagnosis: | MELANONYCHIA | Category: | nail disorders / hyperpigmentation | ||
| Body Site: | nail, hand | Age: | 11 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | 1 cm wide brown longitudinal band with some increased pigmentation of the cuticle | ||||
| Comments: | This 11-year-old girl developed a slowly expanding longitudinal hyperpigmented patch on the right middle finger. A skin biopsy was scheduled. | ||||
| Related Images: | All related Images melanonychia_1_090731 melanonychia_3_090731 | ||||
 © 2001-2009, DermAtlas | Image Name: | melanonychia_1_090731 | File Type: | jpg | |
| Diagnosis: | MELANONYCHIA | Category: | nail disorders / hyperpigmentation | ||
| Body Site: | nail, hand | Age: | 11 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | 1 cm wide brown longitudinal band with some increased pigmentation of the cuticle | ||||
| Comments: | This 11-year-old girl developed a slowly expanding longitudinal hyperpigmented patch on the right middle finger. A skin biopsy was scheduled. | ||||
| Related Images: | All related Images melanonychia_2_090731 melanonychia_3_090731 | ||||
 © 2001-2009, DermAtlas | Image Name: | Beau_s_lines_1_081210 | File Type: | jpg | |
| Diagnosis: | BEAU LINES / NAIL DYSTROPHY | Category: | nail disorders | ||
| Body Site: | nail, hand / nail, all | Age: | 3 years | ||
| Contributor: | Yashpal Manchanda, MD | ||||
| Description: | transverse grooves with splitting and peeling of all of his nails | ||||
| Comments: | This healthy 3-year-old boy had transverse grooves in all of his nails which slowly advanced outward for 3 months. Four months before the nail changes were first noted he had a high fever for 2 days associated with a viral upper repsiratory infection. | ||||
 © 2001-2009, DermAtlas | Image Name: | Onychogryphosis_1_080819 | File Type: | jpg | |
| Diagnosis: | ONYCHOGRYPOSIS / NAIL DYSTROPHY | Category: | nail disorders | ||
| Body Site: | nail, foot / toe | Age: | 38 years | ||
| Contributor: | Yashpal Manchanda, MD | ||||
| Description: | ragged brownish green scaly nail with subungual and periungual scale | ||||
| Comments: | This brownish green dystrophic was asymptomatic in this 38-year-old woman. There was no history of trauma. | ||||
 © 2001-2009, DermAtlas | Image Name: | traumatic_nails_1_0808156 | File Type: | jpg | |
| Diagnosis: | NAIL DYSTROPHY / PURPURA / SUBUNGUAL HEMORRHAGE | Category: | environmental injury / nail disorders / normal physiologic variant | ||
| Body Site: | nail, foot / nail, all | Age: | 42 years | ||
| Contributor: | Sherry Guralnick Cohen, CRNP-F | ||||
| Description: | subungual hemorrhage, onycholysis, and fracture of the great toes nails; longitudinal grooves of all nails | ||||
| Comments: | This healthy 42-year-old man complained of discoloration of his great toe nails. Although he denied trauma, he was an avid tennis player which may have resulted in repetitive trauma to the great toe nails. Note the shallow longitudinal grooves which were seen on all nails and represent a normal variant which increases with increasing age. | ||||
 © 2001-2009, DermAtlas | Image Name: | median_nail_dyatrophy_2_080815 | File Type: | jpg | |
| Diagnosis: | NAIL DYSTROPHY / NAIL DYSTROPHY, MEDIAN / DERMATITIS, ATOPIC | Category: | nail disorders / papulosquamous eruptions | ||
| Body Site: | nail, hand | Age: | 45 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | narrow transverse creases with a central longitudinal white yellow groove and crusting as well as pink scaly lichenified plaques surrounding the nail | ||||
| Comments: | This healthy 45-year-old woman with a hand dermatitis was a chronic nail picker. Only the thumbnails were involved. | ||||
| Related Images: | median_nail_dyatrophy_1_080815 | ||||
 © 2001-2009, DermAtlas | Image Name: | median_nail_dyatrophy_1_080815 | File Type: | jpg | |
| Diagnosis: | NAIL DYSTROPHY / NAIL DYSTROPHY, MEDIAN / DERMATITIS, ATOPIC | Category: | nail disorders / papulosquamous eruptions | ||
| Body Site: | nail, hand | Age: | 45 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | narrow transverse creases with a central longitudinal white yellow groove and crusting as well as pink scaly lichenified plaques surrounding the nail | ||||
| Comments: | This healthy 45-year-old woman with a hand dermatitis was a chronic nail picker. Only the thumbnails were involved. | ||||
| Related Images: | median_nail_dyatrophy_2_080815 | ||||
 © 2001-2009, DermAtlas | Image Name: | in_situ_mealnoma_1_080602 | File Type: | jpg | |
| Diagnosis: | MELANOMA, IN SITU | Category: | neoplasm, malignant / hyperpigmentation / nail disorders | ||
| Body Site: | nail, hand | Age: | 11 years | ||
| Contributor: | Katherine Puttgen, MD | ||||
| Description: | diffuse gray brown pigmentation of the nail immediately after biopsy | ||||
| Comments: | This healthy 11-year-old girl developed progressive hyperpigmentation of her right thumb over a year. A punch biopsy showed histologic severe cytologic atypia of melanocytes consistent with melanoma in situ. The lesion was subsequently completely excised. Note the excised matrix and contiguous involved nail bed. | ||||
| Related Images: | All related Images in_situ_mealnoma_6_080602 in_situ_mealnoma_5_080602 in_situ_mealnoma_4_080602 in_situ_mealnoma_3_080602 in_situ_mealnoma_2_080602 | ||||
 © 2001-2009, DermAtlas | Image Name: | in_situ_mealnoma_2_080602 | File Type: | jpg | |
| Diagnosis: | MELANOMA, IN SITU | Category: | neoplasm, malignant / hyperpigmentation / nail disorders | ||
| Body Site: | nail, hand | Age: | 11 years | ||
| Contributor: | Gene Deune | ||||
| Description: | diffuse gray brown pigmentation of the nail immediately before excision | ||||
| Comments: | This healthy 11-year-old girl developed progressive hyperpigmentation of her right thumb over a year. A punch biopsy showed histologic severe cytologic atypia of melanocytes consistent with melanoma in situ. The lesion was subsequently completely excised. Note the excised matrix and contiguous involved nail bed. | ||||
| Related Images: | All related Images in_situ_mealnoma_6_080602 in_situ_mealnoma_5_080602 in_situ_mealnoma_4_080602 in_situ_mealnoma_3_080602 in_situ_mealnoma_1_080602 | ||||
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Link directly to this page: http://DermAtlas.med.jhmi.edu/derm/result.cfm?Category=9