Amelanotic acral melanoma misdiagnosed as verruca plantaris
Abstract: We report a case of amelanotic acral melanoma in a 42-year-old Chinese woman. Ten months previously the patient found a 2-cm asymmetric erythematous macular plaque on her left sole. The lesion was diagnosed as verruca plantaris by every physician the patient consulted. One month ago, an en...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Sociedade Brasileira de Dermatologia
2019-02-01
|
Series: | Anais Brasileiros de Dermatologia |
Subjects: | |
Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962019000100015&tlng=en |
_version_ | 1819005239047487488 |
---|---|
author | Wei Deng Ruixing Yu Yong Cui Zhancai Zheng |
author_facet | Wei Deng Ruixing Yu Yong Cui Zhancai Zheng |
author_sort | Wei Deng |
collection | DOAJ |
description | Abstract: We report a case of amelanotic acral melanoma in a 42-year-old Chinese woman. Ten months previously the patient found a 2-cm asymmetric erythematous macular plaque on her left sole. The lesion was diagnosed as verruca plantaris by every physician the patient consulted. One month ago, an enlarged lymph node was detected in the left groin, which biopsy reported as metastatic melanoma. Dermoscopy suggested verruca plantaris, and positron emission tomography (PET) revealed increased glucose metabolism in the macular plaque. Finally, biopsy of the plaque revealed amelanotic melanoma. Misdiagnosis and diagnostic delay are usually associated with poorer patient outcomes. Awareness of atypical presentations of acral melanoma is thus important for decreasing misdiagnosis rates and improving patient outcomes. |
first_indexed | 2024-12-20T23:49:37Z |
format | Article |
id | doaj.art-a726cef58e324d2b907a68a92aea2163 |
institution | Directory Open Access Journal |
issn | 0365-0596 |
language | English |
last_indexed | 2024-12-20T23:49:37Z |
publishDate | 2019-02-01 |
publisher | Sociedade Brasileira de Dermatologia |
record_format | Article |
series | Anais Brasileiros de Dermatologia |
spelling | doaj.art-a726cef58e324d2b907a68a92aea21632022-12-21T19:22:51ZengSociedade Brasileira de DermatologiaAnais Brasileiros de Dermatologia0365-05962019-02-01941868810.1590/abd1806-4841.20197568Amelanotic acral melanoma misdiagnosed as verruca plantarisWei Denghttps://orcid.org/0000-0003-2924-9021Ruixing Yuhttps://orcid.org/0000-0002-4095-0903Yong Cuihttps://orcid.org/0000-0002-6314-3610Zhancai Zhenghttps://orcid.org/0000-0002-8733-0402Abstract: We report a case of amelanotic acral melanoma in a 42-year-old Chinese woman. Ten months previously the patient found a 2-cm asymmetric erythematous macular plaque on her left sole. The lesion was diagnosed as verruca plantaris by every physician the patient consulted. One month ago, an enlarged lymph node was detected in the left groin, which biopsy reported as metastatic melanoma. Dermoscopy suggested verruca plantaris, and positron emission tomography (PET) revealed increased glucose metabolism in the macular plaque. Finally, biopsy of the plaque revealed amelanotic melanoma. Misdiagnosis and diagnostic delay are usually associated with poorer patient outcomes. Awareness of atypical presentations of acral melanoma is thus important for decreasing misdiagnosis rates and improving patient outcomes.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962019000100015&tlng=enLymphatic metastasisMelanoma, amelanoticWarts |
spellingShingle | Wei Deng Ruixing Yu Yong Cui Zhancai Zheng Amelanotic acral melanoma misdiagnosed as verruca plantaris Anais Brasileiros de Dermatologia Lymphatic metastasis Melanoma, amelanotic Warts |
title | Amelanotic acral melanoma misdiagnosed as verruca plantaris |
title_full | Amelanotic acral melanoma misdiagnosed as verruca plantaris |
title_fullStr | Amelanotic acral melanoma misdiagnosed as verruca plantaris |
title_full_unstemmed | Amelanotic acral melanoma misdiagnosed as verruca plantaris |
title_short | Amelanotic acral melanoma misdiagnosed as verruca plantaris |
title_sort | amelanotic acral melanoma misdiagnosed as verruca plantaris |
topic | Lymphatic metastasis Melanoma, amelanotic Warts |
url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962019000100015&tlng=en |
work_keys_str_mv | AT weideng amelanoticacralmelanomamisdiagnosedasverrucaplantaris AT ruixingyu amelanoticacralmelanomamisdiagnosedasverrucaplantaris AT yongcui amelanoticacralmelanomamisdiagnosedasverrucaplantaris AT zhancaizheng amelanoticacralmelanomamisdiagnosedasverrucaplantaris |