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Images in Clinical Practice
ARTICLE IN PRESS
doi:
10.25259/IJDVL_652_2022

Bilateral tennis toe

Department of Dermatology, Renaissance School of Medicine at Stony Brook University, Stony Brook, New York, USA
Department of Pathology and Laboratory Medicine, Weill Cornell Medicine, New York, USA
Departments of Dermatology, Weill Cornell Medicine, New York, USA
Corresponding author: Dr. Shari R. Lipner, Department of Dermatology, Weill Cornell Medicine, New York, USA. shl9032@med.cornell.edu
Licence
This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

How to cite this article: Falotico JM, Magro CM, Lipner SR. Bilateral tennis toe. Indian J Dermatol Venereol Leprol doi: 10.25259/IJDVL_652_2022

Longitudinal melanonychia has a broad differential diagnosis including melanoma. Subungual haematomas rarely present as dark bands resembling longitudinal melanonychia. A 35-year-old Caucasian tennis player presented with a decade-long history of black bands involving bilateral great toenails [Figure 1]. Dermoscopy showed homogeneous areas and globules without melanin lines [Figure 2]. Nail plate clippings with histopathology showed entrapped blood without hyphae or melanin. Stopping short while playing tennis may force the toes into the narrow part of the sneaker, rupturing subungual blood vessels. Tennis toe is most common in the great toenail in patients ≥35 years old. The patient’s avid tennis history likely resulted in subungual haematomas from trauma.

Figure 1:: Longitudinal black bands on bilateral great toenails
Figure 2:: Homogenous areas, peripheral fading, globules, and streaks seen without lines of melanin (contact and non-polarized dermoscopy, magnification: 10×)

Declaration of patient consent

Patient’s consent not required as patient’s identity is not disclosed or compromised.

Financial support and sponsorship

Nil.

Conflict of interest

Ms. Falotico and Dr. Magro have no conflicts of interests. Dr. Lipner has served as a consultant for Ortho Dermatologics, Hoth Therapeutics and BelleTorus Corporation.


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