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Case Reports: Unusual presentation of more common disease/injury
Amelanotic subungual melanoma and chilblains
  1. Karen Manuelyan1,2,
  2. Bernadette De Silva1 and
  3. Rakhi Singh-Raghunath1
  1. 1Dermatology, Luton and Dunstable University Hospital, Bedfordshire Hospitals NHS Foundation Trust, Luton, UK
  2. 2Dermatology and Venereology, Trakia University, Faculty of Medicine, Stara Zagora, Bulgaria
  1. Correspondence to Dr Karen Manuelyan; k.manuelyan{at}yahoo.com

Abstract

A female patient in her 50s presented with blue discolouration of several toes and with single nail dystrophy affecting the little toenail. The nail changes were considered to be secondary to poor circulation and chilblains, which led to delay in the diagnosis of amelanotic subungual melanoma.

  • Dermatology
  • Skin cancer

https://doi.org/10.1136/bcr-2022-252791

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    Footnotes

    • Contributors KLM has been involved in the patient’s care, has worked on the design and draft of the article and the figure, has worked on the final version and agrees to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved. BDS has been involved in the patient’s care, has worked on the draft of the article, has made edits to the text, has revised it critically and has approved the final version. She agrees to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved. RS-R has been involved in the patient’s care, has also made a significant contribution to the draft of the article, has edited the text for mistakes, has obtained informed consent and has found the information needed on the case outcome. She has approved the final version. She agrees to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.