Onychopapilloma is a relatively common benign nail unit tumor arising from the nail bed or the distal matrix, first described by Baran and Perrin in 1995. 1 It usually affects one single nail, presenting as longitudinal erythronychia, slightly onycholytic with or without a distal V-shaped appearance. It may also present as longitudinal leukonychia, melanonychia or xanthonychia. 1 Due to the various clinical presentations mimicking many other nail tumors, the diagnosis of onychopapilloma might be challenging, while the non-invasive imaging techniques could have a positive impact F I G U R E 1 (A) Linear fringed erythro-melanonychia band of the left thumb with proximal focal alteration of the lunula. (B,C) Onychoscopy: proximal erythema of the lunula, fine red band with purple/black splinter hemorrhages up to the free edge of the nail plate. (D) Reflectance confocal microscopy of the nail plate free edge: hyperreflective digitiform structures (yellow line) and focal ovoid white areas (red asterisks).Data sharing not applicable to this article as no datasets were generated or analyzed during the current study.
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