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 (Author), Ruixing Yu (Author), Yong Cui (Author), Zhancai Zheng (Author)
Format: Book
Published: Sociedade Brasileira de Dermatologia, 2019-02-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Wei Deng  |e author 
700 1 0 |a Ruixing Yu  |e author 
700 1 0 |a Yong Cui  |e author 
700 1 0 |a Zhancai Zheng  |e author 
245 0 0 |a Amelanotic acral melanoma misdiagnosed as verruca plantaris 
260 |b Sociedade Brasileira de Dermatologia,   |c 2019-02-01T00:00:00Z. 
500 |a 0365-0596 
500 |a 10.1590/abd1806-4841.20197568 
520 |a 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. 
546 |a EN 
546 |a PT 
690 |a Lymphatic metastasis 
690 |a Melanoma, amelanotic 
690 |a Warts 
690 |a Dermatology 
690 |a RL1-803 
655 7 |a article  |2 local 
786 0 |n Anais Brasileiros de Dermatologia, Vol 94, Iss 1, Pp 86-88 (2019) 
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787 0 |n http://www.scielo.br/pdf/abd/v94n1/0365-0596-abd-94-01-0086.pdf 
787 0 |n https://doaj.org/toc/0365-0596 
856 4 1 |u https://doaj.org/article/a726cef58e324d2b907a68a92aea2163  |z Connect to this object online.