Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Evaluation and Management of Melanonychia Striata in a Patient Receiving Phototherapy

Evaluation and Management of Melanonychia Striata in a Patient Receiving Phototherapy Abstract REPORT OF A CASE A 73-year-old white man presented to our dermatology service in 1982 with a 40-year history of psoriasis. His medical history was significant for hypertension, which was managed with propranolol and furosemide. He was also treated with indomethacin for arthritis. Prior treatment for psoriasis included only topical corticosteroids and emollients, and this regimen failed ultimately to manage his disease adequately. It was decided to begin the Goeckerman regimen, and this patient's psoriasis rapidly cleared. Over the ensuing years, UV-B therapy was used sporadically for maintenance.In November 1985, a solitary pigmented nail streak was noted for the first time on the left index finger. A 2-mm punch biopsy specimen of the nail matrix revealed a subungual melanoma, and a matricectomy was subsequently performed (Fig 1). Healing occurred without complication.In July 1986, the patient experienced a flare of his psoriasis, and phototherapy was restarted. A new pigmented References 1. Norton LA. Tumors . In: Scher RK, Daniel CR III, eds. Nails: Therapy, Diagnosis, and Surgery . Philadelphia, Pa: WB Saunders Co; 1990;202-213. 2. Baran R, Kechijian P. Longitudinal melanonychia: diagnosis and management . J Am Acad Dermatol. 1989;21:1165-1175.Crossref 3. Tom DWK, Scher RK. Melanonychia striata in longitudinem . Am J Dermatopathol . 1985;7( (suppl) ):161-163.Crossref 4. Fleckman P. Basic science of the nail units . In: Scher RK, Daniel CR III, eds. Nails: Therapy, Diagnosis, and Surgery . Philadelphia, Pa: WB Saunders Co; 1990:35. 5. Weiss E, Sayegh-Carreno R. PUVA: induced pigmented nails . Int J Dermatol. 1989;28:188-189.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Evaluation and Management of Melanonychia Striata in a Patient Receiving Phototherapy

Download PDF
2 pages

Loading next page...
 
/lp/american-medical-association/evaluation-and-management-of-melanonychia-striata-in-a-patient-00oQAwScSb

References (6)

Publisher
American Medical Association
Copyright
Copyright © 1991 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1991.01680030031004
Publisher site
See Article on Publisher Site

Abstract

Abstract REPORT OF A CASE A 73-year-old white man presented to our dermatology service in 1982 with a 40-year history of psoriasis. His medical history was significant for hypertension, which was managed with propranolol and furosemide. He was also treated with indomethacin for arthritis. Prior treatment for psoriasis included only topical corticosteroids and emollients, and this regimen failed ultimately to manage his disease adequately. It was decided to begin the Goeckerman regimen, and this patient's psoriasis rapidly cleared. Over the ensuing years, UV-B therapy was used sporadically for maintenance.In November 1985, a solitary pigmented nail streak was noted for the first time on the left index finger. A 2-mm punch biopsy specimen of the nail matrix revealed a subungual melanoma, and a matricectomy was subsequently performed (Fig 1). Healing occurred without complication.In July 1986, the patient experienced a flare of his psoriasis, and phototherapy was restarted. A new pigmented References 1. Norton LA. Tumors . In: Scher RK, Daniel CR III, eds. Nails: Therapy, Diagnosis, and Surgery . Philadelphia, Pa: WB Saunders Co; 1990;202-213. 2. Baran R, Kechijian P. Longitudinal melanonychia: diagnosis and management . J Am Acad Dermatol. 1989;21:1165-1175.Crossref 3. Tom DWK, Scher RK. Melanonychia striata in longitudinem . Am J Dermatopathol . 1985;7( (suppl) ):161-163.Crossref 4. Fleckman P. Basic science of the nail units . In: Scher RK, Daniel CR III, eds. Nails: Therapy, Diagnosis, and Surgery . Philadelphia, Pa: WB Saunders Co; 1990:35. 5. Weiss E, Sayegh-Carreno R. PUVA: induced pigmented nails . Int J Dermatol. 1989;28:188-189.Crossref

Journal

Archives of Dermatology – American Medical Association

Published: Mar 1, 1991

There are no references for this article.