# Melanonychia Striata: A Case Report

## Authors

- Putu Anda Tusta Adiputra ([ORCID](https://orcid.org/0000-0003-2676-8037)) — Surgical Oncology, Surgery, Udayana University, Sanglah General Hospital, Prima Medika Hospital, Denpasar, Bali, Indonesia
- Annisa Alviariza ([ORCID](https://orcid.org/0000-0001-5337-109X)) — Faculty of Medicine, Udayana University, Sanjiwani General Hospital, Gianyar, Bali, Indonesia
- Herman Saputra ([ORCID](https://orcid.org/0000-0003-1460-3884)) — Pathology, Udayana University, Sanglah General Hospital RS Prima Medika, Prima Medika Hospital, Denpasar, Bali, Indonesia

## Article information

- **Journal:** The Ulutas Medical Journal (Ulutas Med J), ISSN 2149-388X
- **Issue:** Volume 6, Issue 3 (2020), pages 176–179
- **Article type:** Case Report
- **Published online:** 2020-09-19
- **DOI:** [10.5455/umj.20200728095745](https://doi.org/10.5455/umj.20200728095745)
- **Licence:** [CC BY-NC 4.0](https://creativecommons.org/licenses/by-nc/4.0/)
- **Article page:** https://www.ulutasmedicaljournal.com/?mno=113681
- **PDF:** https://www.ulutasmedicaljournal.com/pdf/113681.pdf

## Abstract

Subungual melanoma has higher mortality than other skin melanomas caused by a late initial diagnosis of this disease, leading to a poor prognosis. Two-thirds of subungual melanoma symptoms begin with melanonychia striata, appearing as brown or black-pigmented lines of the nail plate. In this case report, we presented a case of melanonychia striata in a 30-year-old male. Longitudinal excision or partial avulsion was performed, followed by histopathology examination to exclude malignancy and determine further management for this case.

## Keywords

Melanonychia striata; subungual melanoma; nail

## How to cite

Adiputra PAT, Alviariza A, Saputra H. Melanonychia Striata: A Case Report. Ulutas Med J. 2020;6(3):176-179. doi:10.5455/umj.20200728095745

## References

1. Lee M, Seo S, Jung J, Shin Y, Cho E, Park E, Kim K, Kim K. Longitudinal melanonychia in childhood: a clinical and histopathological review of Korean patients. European Journal of Dermatology. 2017;27(3):275-280 https://doi.org/10.1684/ejd.2017.3021
2. Koga H, Saida T, Uhara H. Key point in dermoscopic differentiation between early nail apparatus melanoma and benign longitudinal melanonychia. The Journal of Derma tology. 2010:38(1):45-52 https://doi.org/10.1111/j.1346-8138.2010.01175.x
3. Ehsanzadeh-Cheemeh P, Grimes R, Rowan P, Huang Y, Essien E, Lewis S. Melanonychia in Patients Infected with Human Immunodeficiency Virus Original Communication. Advances in Infectious Diseases. 2011;1(2): 15-19 https://doi.org/10.4236/aid.2011.12002
4. Ruben BS, Pigmented lesions of the nail unit: clinical and histopathologic features, Semin Cutan Med Surg. 2010; 29(3):148-158 https://doi.org/10.1016/j.sder.2010.06.008
5. Skornšek N, Orešič Barač T, Marko P. Congenital longitudinal melanonychia: a case report. Acta Dermatovenerologica Alpina Pannonica et Adriatica. 2017;26(4);55-59 https://doi.org/10.15570/actaapa.2017.34
6. Saraswati N, Sutedja E, Agusni J. Berbagai Prosedur Bedah Kuku. Syifa' MEDIKA: Jurnal Kedokteran dan Kesehatan. 2019; 8(1):15 Melanonychia Striata Adiputra et al. https://doi.org/10.32502/sm.v8i1.1355
