Acral Amelanotic Melanoma Mimicking a Non-Healing Arterial Ulcer

Acral melanomas contribute to approximately 2–3% of melanomas but are commonly misdiagnosed due to their rarity, subtlety at onset and tendency to display amelanotic features. This case report describes a 70-year-old male with an amelanotic melanoma misdiagnosed as a non-healing arterial ulcer. Hist...

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Main Authors: Phillip Cantwell, Helena Van Dam
Format: Article
Language:English
Published: Karger Publishers 2019-03-01
Series:Case Reports in Dermatology
Subjects:
Online Access:https://www.karger.com/Article/FullText/499155
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author Phillip Cantwell
Helena Van Dam
author_facet Phillip Cantwell
Helena Van Dam
author_sort Phillip Cantwell
collection DOAJ
description Acral melanomas contribute to approximately 2–3% of melanomas but are commonly misdiagnosed due to their rarity, subtlety at onset and tendency to display amelanotic features. This case report describes a 70-year-old male with an amelanotic melanoma misdiagnosed as a non-healing arterial ulcer. Histopathology demonstrated a Breslow 2.3 mm, Clark level IV acral lentiginous melanoma, which was definitively managed with surgical intervention. This case report highlights the importance of considering melanoma in the differential diagnosis of non-healing ulcers.
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spelling doaj.art-2fbb09bd1fdb48adbf339135b9c315372022-12-22T00:51:49ZengKarger PublishersCase Reports in Dermatology1662-65672019-03-01111778110.1159/000499155499155Acral Amelanotic Melanoma Mimicking a Non-Healing Arterial UlcerPhillip CantwellHelena Van DamAcral melanomas contribute to approximately 2–3% of melanomas but are commonly misdiagnosed due to their rarity, subtlety at onset and tendency to display amelanotic features. This case report describes a 70-year-old male with an amelanotic melanoma misdiagnosed as a non-healing arterial ulcer. Histopathology demonstrated a Breslow 2.3 mm, Clark level IV acral lentiginous melanoma, which was definitively managed with surgical intervention. This case report highlights the importance of considering melanoma in the differential diagnosis of non-healing ulcers.https://www.karger.com/Article/FullText/499155Acral melanomaAmelanotic melanomaNon-healing arterial ulcer misdiagnosis
spellingShingle Phillip Cantwell
Helena Van Dam
Acral Amelanotic Melanoma Mimicking a Non-Healing Arterial Ulcer
Case Reports in Dermatology
Acral melanoma
Amelanotic melanoma
Non-healing arterial ulcer misdiagnosis
title Acral Amelanotic Melanoma Mimicking a Non-Healing Arterial Ulcer
title_full Acral Amelanotic Melanoma Mimicking a Non-Healing Arterial Ulcer
title_fullStr Acral Amelanotic Melanoma Mimicking a Non-Healing Arterial Ulcer
title_full_unstemmed Acral Amelanotic Melanoma Mimicking a Non-Healing Arterial Ulcer
title_short Acral Amelanotic Melanoma Mimicking a Non-Healing Arterial Ulcer
title_sort acral amelanotic melanoma mimicking a non healing arterial ulcer
topic Acral melanoma
Amelanotic melanoma
Non-healing arterial ulcer misdiagnosis
url https://www.karger.com/Article/FullText/499155
work_keys_str_mv AT phillipcantwell acralamelanoticmelanomamimickinganonhealingarterialulcer
AT helenavandam acralamelanoticmelanomamimickinganonhealingarterialulcer