Dotted Pigmentation of the Cuticle

Longitudinal melanonychia in children is usually caused by nail matrix nevi and often fades over time. Pediatric patients with this finding are frequently referred to dermatologists due to concerns that it may represent melanoma. We report a case of a 4-year-old girl with longitudinal melanonychia on the left second fingernail, accompanied by pigmented dots in the cuticle that persisted after the melanonychia had faded.

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Publication Details

Journal
Pediatric Dermatology
Published
2026-02-09
DOI
https://doi.org/10.1111/pde.70139
Primary Topic
Nail Diseases and Treatments
Type
article
Field-Weighted Citation Impact
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article

Dotted Pigmentation of the Cuticle

Anna Bolzon, Antonella Tosti
Pediatric Dermatology
Nail Diseases and Treatments
article

Dotted Pigmentation of the Cuticle

Anna Bolzon, Antonella Tosti
article en

Abstract

Longitudinal melanonychia in children is usually caused by nail matrix nevi and often fades over time. Pediatric patients with this finding are frequently referred to dermatologists due to concerns that it may represent melanoma. We report a case of a 4-year-old girl with longitudinal melanonychia on the left second fingernail, accompanied by pigmented dots in the cuticle that persisted after the melanonychia had faded.

Pediatric Dermatology
University of Padua (IT), University of Miami (US)
Gender equality
Openalex Percentile: Top 60%
Nail Diseases and Treatments
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Dotted Pigmentation of the Cuticle — Anna Bolzon, Antonella Tosti · Pediatric Dermatology (2026) | TGRS Research Map | TGRS