BMJ Case Reports 2011; doi:10.1136/bcr.10.2010.3422
  • Unusual presentation of more common disease/injury

Subungual malignant melanoma – re-learning the lesson

  1. Barry Powell
  1. St George's Medical School, London, UK
  1. Correspondence to Dr Kavit Amin, kavamin{at}


The authors present two patients referred by colleagues after traumatic hand injury. However, upon closer inspection, both patients had pigmented lesions under the nail bed, which upon biopsy showed proven subungual malignant melanoma. The authors wish to emphasise the importance of this diagnosis, especially in emergency care.


  • Competing interests None.

  • Patient consent Obtained.

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article