Blackish discoloration of nails

Dr. Pandey Saurabh Hridaynarayan., MBBS
 

Medical Case Details:

A female patient, 18 years old, presented with painful blackish discoloration of nails for 5 months, no history of any trauma. The patient is taking Terbinafine and Fluconazole, but symptoms have not improved. What could be the differentials?

 


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Discussions


Dr. Albana Greca
General Practitioner

Hello,

I suspect of possible nail melanoma, however, should check her vital organs (cardiac check up, respiratory tests, for anemia,, thyroid)

Hope that helps.
Regards,

03.Apr, 01:58pm

Dr. Prakash Chandra Girdhar Lal Nagar
Child Health Specialist

Hi there
If you can post a picture, then discussion will be more precise. Also it is toe nails or finger nails?
Dioes she has any co-morbidity - cardiac or Metabolic?
There are many causes but to start with simple one first is always better like a constant pressure on that nail if it only on some specific nails,
Anemia can lead to but that is usually painless
Fungal Infections are common
Melanoma can and it progresses slowly so look for associated signs & symptoms which may not be there in early stages.
Does she has

05.Apr, 12:38am

Dr. Pandey Saurabh Hridaynarayan
General Practitioner

I have attached the photo..but looks like some error.
Its in her fingernails.
No other co morbidities.
No..it's definitely not anemia.
Can melanoma occur in this age group ..she is just 18.

06.Apr, 10:40am

Dr. Prakash Chandra Girdhar Lal Nagar
Child Health Specialist

Yes, melanoma can occur in this age though it is rare in females at this age.
Photo could not be accessed. Try once again to upload.

06.Apr, 10:57am


Dr. Muhammad Aamir Sabir Chippa
Dermatologist

Possible it can be melanoma, do culture for fungal and biopsy to confirm melanoma

06.Apr, 11:47am

Dr. Dheerendra Kumar
General Practitioner

Differental diagnosis is melonoma or fungal infection of nail

09.Apr, 12:41pm

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