Journal of Medical Case Reports
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 Case reportRelearning the lesson – amelanotic malignant melanoma: a case reportEzekiel Oburu  and Alberto Gregori  Department of Orthopaedics, Hairmyres Hospital, East Kilbride, G75 8RG, UK  author email corresponding author email
Journal of Medical Case Reports 2008,
2:31doi:10.1186/1752-1947-2-31
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| Published: |
31 January 2008 |
Abstract
Although not as common as the other melanomas, amelanotic melanoma often evades diagnosis by masquerading as other pathology. A high index of suspicion is therefore required for early and appropriate intervention. We present a patient who was diagnosed and managed as having paronychia of the middle finger while in actual fact he had a subungual amelanotic melanoma. By the time of his referral to the orthopaedic team it had progressed to an advanced stage. Our case underlies the importance of early recognition and referral of this rare but malignant lesion by primary care physicians. | 
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