Subungual melanoma is a rare variant of melanomas that originatesfrom the nail matrix accounting for 1.5-2.5% of all melanomas [1].These melanomas get misdiagnosed as pyogenic granuloma oronychomycosis clinically [1,2]. The role of recurrent trauma in theprogression of the lesion has been described; but its role in thepathogenesis of acral melanomas is not clear as many a times theinjury draws the attention of the lesion [3]. The history of recurrentinjury and clinical presentation is often misleading resulting indelayed diagnosis and treatment [3].
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