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Is it Subungual Melanoma? Fungal Melanonychia due to Phoma Glomerata

Year 2015, Volume: 40 Issue: 1, 162 - 165, 10.09.2015
https://doi.org/10.17826/cutf.44511

Abstract

A 32-years-old female patient referred to our clinic with melanotic color change at her right thumb nail. It was suspected from subungual melanoma. Therefore a full thickness biopsy and an excavation example was taken from the nail for the histologic and microbiologic examination. The lesion was reported as fungal melanonychia which was occured by Phoma Glomerata. As far as we know this is the first case that occured by Phoma Glomerata. Also the case could be misdiagnosed as subungual melanoma. Therefore we aimed to share this case with our colleagues.

References

  • Finch J, Arenas R, Baran R. Fungal melanonychia. J Am Acad Dermatol. 2012;66:830-41.
  • Lateur N, Andre J. Melanonychia: diagnosis and treatment. Dermatol Ther. 2002;15:131-41.
  • Glowacka A, Wasowska- Krolikowka K, Skowron- Kobos J, Kurnatowski M, Janniger CK. Childhood onychomycosis: alternariosis of all ten fingernails. Pediatr Dermatol. 1988;62:125-8.
  • Matsumato T, Matsuda T, Padhye AA, Standard PG, Ajello L. Fungal melanonychia: ungual 12. Bloomfield BJ, Alexander M. Melanins and phaeohypomycosis caused by Wangiella dermatitidis. Clin Exp Dermatol. 1992;17:83-6.
  • Morris-Jones R, Youngchim S, Hextall JM, Gomez BL, Morris-Jones SD, Hay RJ et al. Scytalidium dimidiatum causing recalcitrant subcutaneous lesions produces melanin. J Clin Microbiol. 2004;42:3789-94.
  • Haneke E, Baran R. Longitudinal melanonychia. Dermatol Surg. 2001;27:580-4.
  • Perin C, Baran R. Longitudinal melanonychia caused by Trichophyton rubrum. J Am Acad Dermatol. 1994;31:311-6.
  • Nosanchuk JD, Rosas AL, Casadevall A. The antibody response to fungal melanin in mice. J Immunol. 1998;160:6026-31.
  • Yuri. Phoma Glomerata. http://thunderhouse4yuri.blogspot.com.tr/2013/04/ph oma-glomerata.html
  • Marie-Alix d’Halewyn, M. Phoma Glomerata. http://www.inspq.qc.ca/english/mould- compendium/phoma-glomerata.
  • Wheeler MH, Bell AA. Melanins and their importance in pathogenic fungi. In: McGinnis MR, editor. Current topics in medical mycology, New York: Springer Verlag, 1988;2:338-87. resistance of fungi to lysis. J Bacteriol. 1967;93:1276- 80.

Bu Subungual Melanom mu? Phoma Glomerata Nedeniyle Gelişen Fungal Melanoşiya

Year 2015, Volume: 40 Issue: 1, 162 - 165, 10.09.2015
https://doi.org/10.17826/cutf.44511

Abstract

Otuz iki yaşında kadın hasta sağ ayak birinci tırnağındaki melanotik renk değişikliğiyle başvurdu. Subungual melanomdan şüphelenildi. Bu yüzden tırnaktan histolojik ve mikrobiyolojik inceleme için tam kalınlıkta biyopsi ve kazıntı örneği alındı. Lezyon Phoma Glomerata sebebiyle gelişen fungal melanoşiya olarak raporlandı. Bildiğimiz kadarıyla bu, Phoma Glomerata sebebiyle oluşan ilk fungal melanoşia olgusudur. Ayrıca olgu subungual melanom olarak yanlış tanı alabilirdi. Bu yüzden bu olguyu meslektaşlarımızla paylaşmayı hedefledik

References

  • Finch J, Arenas R, Baran R. Fungal melanonychia. J Am Acad Dermatol. 2012;66:830-41.
  • Lateur N, Andre J. Melanonychia: diagnosis and treatment. Dermatol Ther. 2002;15:131-41.
  • Glowacka A, Wasowska- Krolikowka K, Skowron- Kobos J, Kurnatowski M, Janniger CK. Childhood onychomycosis: alternariosis of all ten fingernails. Pediatr Dermatol. 1988;62:125-8.
  • Matsumato T, Matsuda T, Padhye AA, Standard PG, Ajello L. Fungal melanonychia: ungual 12. Bloomfield BJ, Alexander M. Melanins and phaeohypomycosis caused by Wangiella dermatitidis. Clin Exp Dermatol. 1992;17:83-6.
  • Morris-Jones R, Youngchim S, Hextall JM, Gomez BL, Morris-Jones SD, Hay RJ et al. Scytalidium dimidiatum causing recalcitrant subcutaneous lesions produces melanin. J Clin Microbiol. 2004;42:3789-94.
  • Haneke E, Baran R. Longitudinal melanonychia. Dermatol Surg. 2001;27:580-4.
  • Perin C, Baran R. Longitudinal melanonychia caused by Trichophyton rubrum. J Am Acad Dermatol. 1994;31:311-6.
  • Nosanchuk JD, Rosas AL, Casadevall A. The antibody response to fungal melanin in mice. J Immunol. 1998;160:6026-31.
  • Yuri. Phoma Glomerata. http://thunderhouse4yuri.blogspot.com.tr/2013/04/ph oma-glomerata.html
  • Marie-Alix d’Halewyn, M. Phoma Glomerata. http://www.inspq.qc.ca/english/mould- compendium/phoma-glomerata.
  • Wheeler MH, Bell AA. Melanins and their importance in pathogenic fungi. In: McGinnis MR, editor. Current topics in medical mycology, New York: Springer Verlag, 1988;2:338-87. resistance of fungi to lysis. J Bacteriol. 1967;93:1276- 80.
There are 11 citations in total.

Details

Primary Language English
Journal Section Case Report
Authors

Elif Sarı

Latife Iseri This is me

Mukadder Koçak This is me

Dilara Yıldız This is me

Publication Date September 10, 2015
Published in Issue Year 2015 Volume: 40 Issue: 1

Cite

MLA Sarı, Elif et al. “Is It Subungual Melanoma? Fungal Melanonychia Due to Phoma Glomerata”. Cukurova Medical Journal, vol. 40, no. 1, 2015, pp. 162-5, doi:10.17826/cutf.44511.