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Fungal melanonychia.

Authors
Lee, SW; Kim, YC; Kim, DK; Yoon, TY; Park, HJ; Cinn, YW
Citation
The Journal of dermatology, 31(11):904-909, 2004
Journal Title
The Journal of dermatology
ISSN
0385-24071346-8138
Abstract
Melanonychia is characterized by tan, brown, or black pigmentation within the nail plate. Fungal melanonychia is rare and may simulate longitudinal melanonychia caused by melanocytic lesions. We report six cases of fungal melanonychia which were confirmed histopathologically or mycologically. On culture, Candida and/or Aspergillus species were isolated in four patients. The nail pigmentation improved after treatment with antifungal agents in all cases, but one patient experienced a new lesion on another nail after cessation of treatment. Fungal infection should be considered as a cause of melanonychia, and fungal melanonychia should be differentiated from the melanonychia caused by melanocytic lesions, particularly by subungual melanoma.
MeSH terms
AdultAntifungal Agents/therapeutic useAspergillosis/diagnosisCandidiasis/diagnosisDiagnosis, DifferentialFemaleFoot Dermatoses/*microbiologyHand Dermatoses/*microbiologyHumansMaleMelanosis/*microbiologyMiddle AgedOnychomycosis/*diagnosis
PMID
15729863
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Dermatology
AJOU Authors
김, 유찬
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