[Melanonychia: The purpose of a case of ungual mycotization mimicking melanoma]

Dermatol Online J. 2010 Mar 15;16(3):6.
[Article in Portuguese]

Abstract

Introduction: Phialophora sp. dematiaceous fungus frequently isolated from soil and organic debris from animals and plants. There have been no reports of nail involvement caused by this fungus. We report the case of a 77-year-old male with blackish-brown pigmentation involving a single finger for one year. The identification of the fungus was determined by macromorphological and micromorphological study of the colony and we discuss the clinical, microbiological, differential diagnosis, and treatment.

Comment: We describe the first case of nail infection caused by Phialophora sp.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Antifungal Agents / therapeutic use
  • Ciclopirox
  • Diagnosis, Differential
  • Humans
  • Itraconazole / therapeutic use
  • Male
  • Mycoses / diagnosis*
  • Mycoses / drug therapy
  • Mycoses / microbiology*
  • Nail Diseases / diagnosis*
  • Nail Diseases / drug therapy
  • Nail Diseases / microbiology*
  • Phialophora / isolation & purification*
  • Pigmentation Disorders / diagnosis*
  • Pigmentation Disorders / drug therapy
  • Pigmentation Disorders / microbiology*
  • Pyridones / therapeutic use

Substances

  • Antifungal Agents
  • Pyridones
  • Ciclopirox
  • Itraconazole