The signs of possible nail melanoma include: Your doctor will look primarily for signs that your melanonychia may be malignant. The next step in diagnosis is a dermatoscopic examination using a specific type of microscope to get a close look at the discolored areas. Your doctor will also look at your medical history to see if you have any conditions that may be causing the melanonychia. This includes looking at whether your nail is deformed, how many nails have melanonychia, as well as the color, shape, and size of your melanonychia. Your doctor will begin with a physical exam of all your fingernails and toenails. People of African descent are the most likely to experience melanonychia, followed by people of other races who have darker skin.Ī diagnosis of melanonychia is reached after a series of exams. Other causes of melanonychia may include: Melanocytic hyperplasia may be caused by:
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