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...

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Main Authors: Wei Deng, Ruixing Yu, Yong Cui, Zhancai Zheng
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
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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.
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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
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AT ruixingyu amelanoticacralmelanomamisdiagnosedasverrucaplantaris
AT yongcui amelanoticacralmelanomamisdiagnosedasverrucaplantaris
AT zhancaizheng amelanoticacralmelanomamisdiagnosedasverrucaplantaris