What is included in the long-term monitoring of patients with melanonychia?

Updated: Sep 10, 2018
  • Author: Chris G Adigun, MD, FAAD; Chief Editor: William D James, MD  more...
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Patients with longitudinal melanonychia of a single digit who decline a biopsy should receive close follow-up with their dermatologist, and monitoring of the melanonychia should be part of a routine monthly self-skin examination. Additionally, the physician may use a dermatoscope to monitor melanonychia.

If changes suggestive of melanoma are observed, a biopsy should be performed.

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