Amelanotic Melanoma Presenting as a Neuropathic Ulcer in a Non-Diabetic Patient

Abstract

Amelanotic melanoma can often confound clinicians due to its variable presentation and non pigmented characteristics that can mimic neuropathic ulceration. We report here an 85 year old non-diabetic gentleman who presented to the vascular service with a six month history of non healing neuropathic ulcer overlying his 5th metatarsal head. Further investigations revealed an amelanotic malignant melanoma.

Subungual amelanotic melanoma of the hallux: Review of the literature with a case report

“…2,3 Lack of pigmentation in amelanotic subungual melanoma further complicates an already difficult diagnosis. [4][5][6] The patient was referred to a dermatologist who performed a biopsy. The diagnosis of an amelanotic melanoma was made upon histology.…”