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Melanoleuconychia: A rare reversible entity
  1. Arshdeep Singh Sidhu1,
  2. Liza Das2,
  3. Amit Shankar Singh3
  1. 1 Medicine, Fortis Hospital Mohali, Mohali, Punjab, India
  2. 2 Endocrinology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
  3. 3 Neurology, Fortis Hospital Mohali, Mohali, Punjab, India
  1. Correspondence to Dr Amit Shankar Singh, Neurology, Fortis Hospital Mohali, Mohali, Punjab 160062, India; amitkgmumedicine{at}

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A 43-year-old woman with a recent history of chemotherapy for breast carcinoma presented to our clinic with complaint of discolouration of fingernails. She was diagnosed with infiltrating ductal carcinoma of the left breast and underwent modified radical mastectomy for the same. A month later, she was started on adriamycin-based, cyclophosphamide-based and paclitaxel-based chemotherapy, and 3 weeks later, she noticed a progressive brownish discolouration of her fingernails beds. On physical examination, she had diffuse brown discolouration of fingernails of both hands, that is, melanonychia (figure …

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  • Contributors All authors were equally instrumental in patient diagnosis, management and follow-up. ASSid did data collection. LD and ASSin performed a review of literature and drafted as well as edited the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.