Ungual seborrheic keratosis

J Eur Acad Dermatol Venereol. 2010 Sep;24(9):1102-4. doi: 10.1111/j.1468-3083.2010.03579.x. Epub 2010 Feb 9.

Abstract

Background/objectives: Seborrheic keratoses are ubiquitous benign epithelial skin tumours. A number of unusual locations have already been reported. We report herein the case of a seborrheic keratosis of the nail bed with typical histological features.

Methods/results: A 58-year-old man presented with a 1-year-history of longitudinal leukoxanthonychia of the right hallux. Surgical treatment was performed. The diagnosis of typical seborrheic keratosis of the nail bed was made on histological examination.

Conclusion: To our knowledge, this is the first report of a typical, histologically documented seborrheic keratosis of the nail bed. Therefore, this condition should be added to the differential diagnosis of acquired longitudinal leukoxanthonychia. However, surgical treatment remains necessary to rule out other causes, including squamous cell carcinoma.

Publication types

  • Case Reports

MeSH terms

  • Humans
  • Keratosis, Seborrheic / diagnosis*
  • Keratosis, Seborrheic / pathology
  • Male
  • Middle Aged
  • Nail Diseases / diagnosis*
  • Nail Diseases / pathology