Intracorneal Hematoma Showing Clinical and Dermoscopic Features of Acral Lentiginous Melanoma
Intra- and subcorneal hematoma, a skin alteration seen palmar and plantar after trauma or physical exercise, can be challenging to distinguish from in situ or invasive acral lentiginous melanoma. Thus, careful examination including dermoscopic and histologic assessment may be necessary to make the c...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Dermatological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2017/3509146 |
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| author | Ugur Uslu Franz Heppt Michael Erdmann |
| author_facet | Ugur Uslu Franz Heppt Michael Erdmann |
| author_sort | Ugur Uslu |
| collection | DOAJ |
| description | Intra- and subcorneal hematoma, a skin alteration seen palmar and plantar after trauma or physical exercise, can be challenging to distinguish from in situ or invasive acral lentiginous melanoma. Thus, careful examination including dermoscopic and histologic assessment may be necessary to make the correct diagnosis. We here present a case of a 67-year-old healthy female patient who presented with a pigmented plantar skin alteration. Differential diagnoses included benign skin lesions, for example, hematoma or melanocytic nevus, and also acral lentiginous melanoma or melanoma in situ. Since clinical and dermoscopic examinations did not rule out a malignant skin lesion, surgical excision was performed and confirmed an intracorneal hematoma. In summary, without adequate physical trigger, it may be clinically and dermoscopically challenging to make the correct diagnosis in pigmented palmar and plantar skin alterations. Thus, biopsy or surgical excision of the skin alteration may be necessary to rule out melanoma. |
| format | Article |
| id | doaj-art-516dbe77c1524be9888944b93e683c51 |
| institution | Kabale University |
| issn | 2090-6463 2090-6471 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Dermatological Medicine |
| spelling | doaj-art-516dbe77c1524be9888944b93e683c512025-02-03T05:59:20ZengWileyCase Reports in Dermatological Medicine2090-64632090-64712017-01-01201710.1155/2017/35091463509146Intracorneal Hematoma Showing Clinical and Dermoscopic Features of Acral Lentiginous MelanomaUgur Uslu0Franz Heppt1Michael Erdmann2Department of Dermatology, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Universitätsklinikum Erlangen, Erlangen, GermanyDepartment of Dermatology, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Universitätsklinikum Erlangen, Erlangen, GermanyDepartment of Dermatology, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Universitätsklinikum Erlangen, Erlangen, GermanyIntra- and subcorneal hematoma, a skin alteration seen palmar and plantar after trauma or physical exercise, can be challenging to distinguish from in situ or invasive acral lentiginous melanoma. Thus, careful examination including dermoscopic and histologic assessment may be necessary to make the correct diagnosis. We here present a case of a 67-year-old healthy female patient who presented with a pigmented plantar skin alteration. Differential diagnoses included benign skin lesions, for example, hematoma or melanocytic nevus, and also acral lentiginous melanoma or melanoma in situ. Since clinical and dermoscopic examinations did not rule out a malignant skin lesion, surgical excision was performed and confirmed an intracorneal hematoma. In summary, without adequate physical trigger, it may be clinically and dermoscopically challenging to make the correct diagnosis in pigmented palmar and plantar skin alterations. Thus, biopsy or surgical excision of the skin alteration may be necessary to rule out melanoma.http://dx.doi.org/10.1155/2017/3509146 |
| spellingShingle | Ugur Uslu Franz Heppt Michael Erdmann Intracorneal Hematoma Showing Clinical and Dermoscopic Features of Acral Lentiginous Melanoma Case Reports in Dermatological Medicine |
| title | Intracorneal Hematoma Showing Clinical and Dermoscopic Features of Acral Lentiginous Melanoma |
| title_full | Intracorneal Hematoma Showing Clinical and Dermoscopic Features of Acral Lentiginous Melanoma |
| title_fullStr | Intracorneal Hematoma Showing Clinical and Dermoscopic Features of Acral Lentiginous Melanoma |
| title_full_unstemmed | Intracorneal Hematoma Showing Clinical and Dermoscopic Features of Acral Lentiginous Melanoma |
| title_short | Intracorneal Hematoma Showing Clinical and Dermoscopic Features of Acral Lentiginous Melanoma |
| title_sort | intracorneal hematoma showing clinical and dermoscopic features of acral lentiginous melanoma |
| url | http://dx.doi.org/10.1155/2017/3509146 |
| work_keys_str_mv | AT uguruslu intracornealhematomashowingclinicalanddermoscopicfeaturesofacrallentiginousmelanoma AT franzheppt intracornealhematomashowingclinicalanddermoscopicfeaturesofacrallentiginousmelanoma AT michaelerdmann intracornealhematomashowingclinicalanddermoscopicfeaturesofacrallentiginousmelanoma |