Pigmented Nail Lesions: When to Observe, When to Biopsy, When to Widely Excise, and When to Amputate? Journal of Hand Surgery Pigmented Lesions of the Nail Unit: Clinical and Histopathologic Features Adult and Pediatric Nail Unit Melanoma: Epidemiology, Diagnosis, and Treatment Brown black pigmented nail bands (melanonychia) can be a sign of subungual melanoma. This case report describes a child with melanonychia mimicking melanoma caused by green slime. Presumably, the slime embedded in the
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melanotic macule nail Figure 4 from Pigmented lesions of the nail bed - Clinical assessment and biopsy