How do you treat longitudinal melanonychia?

How do you treat longitudinal melanonychia?

Treatment options

  1. taking antibiotic or antifungal medications, if an infection is the cause.
  2. treating the underlying disease or medical condition causing the melanonychia.

Can longitudinal melanonychia be benign?

Benign longitudinal melanonychia is recognized by the appearance of light to dark brown stripes that are parallel and regular in color, thickness, and spacing.

Can melanonychia be longitudinal?

The aetiology of melanonychia ranges from more common benign causes to less common invasive and in situ melanomas. Melanonychia especially in a longitudinal band form can be due to both local and systemic causes.

Can melanonychia turn into melanoma?

Some melanonychia screams “melanoma” from the doorway There are times melanonychia is so egregious that it can only be melanoma. A wide, deeply pigmented band with irregular lines and pigmented extension onto the periungual tissues is nearly pathognomonic for melanoma.

Is Melanonychia reversible?

It is usually fully reversible, but can take six weeks or more to resolve. Melanonychia is an uncommon side effect of hydroxyurea; reported rarely in patients with myeloproliferative neoplasms (2.32%).

What do brown streaks in fingernails?

Splinter hemorrhages look like thin, red to reddish-brown lines of blood under the nails. They run in the direction of nail growth. They are named splinter hemorrhages because they look like a splinter under the fingernail. The hemorrhages may be caused by tiny clots that damage the small capillaries under the nails.

What percentage of Melanonychia is melanoma?

Roughly two-thirds of cases of nail apparatus melanoma (NAM) are characterized by melanin-derived brown-to-black nail pigmentation, or melanonychia [1].

Which drugs cause Melanonychia?

Melanonychia is most often due to cyclophosphamide, doxorubicin, and hydroxyurea. Longitudinal bands, diffuse nail pigmentation, and associated skin pigmentation may be seen. The nail changes are due to activation of melanocytes within the nail matrix.

How long does Subungual melanoma take to develop?

According to the New England Journal of Medicine, a person waits an estimated 2.2 years from the onset of their symptoms until diagnosis of subungual melanoma. However, it is important to seek proper diagnosis, as soon as symptoms become noticeable.