Subject(s)
Antibodies, Monoclonal, Humanized , Dermatitis, Atopic , Humans , Dermatitis, Atopic/drug therapy , Antibodies, Monoclonal, Humanized/therapeutic use , Female , Male , Adult , Middle Aged , Treatment Outcome , Young Adult , Adolescent , Retrospective Studies , Aged , Severity of Illness Index , Scalp Dermatoses/drug therapy , ChildSubject(s)
Dermatitis, Atopic , Eczema , Kaposi Varicelliform Eruption , Keratitis, Herpetic , Humans , Dermatitis, Atopic/complications , Dermatitis, Atopic/drug therapy , Kaposi Varicelliform Eruption/etiology , Antibodies, Monoclonal, Humanized/adverse effects , Keratitis, Herpetic/complications , Keratitis, Herpetic/drug therapy , Treatment Outcome , Eczema/complications , Severity of Illness IndexABSTRACT
(1) Background: Onychopapilloma is a benign tumor of the nail bed and distal matrix. which usually manifests as monodactylous longitudinal eryhtronychia associated with subungual hyperkeratosis. The impossibility to rule out a malignant neoplasm is an indication for surgical excision and histological examination. Our aim is to report and describe the ultrasonographic features of onychopapilloma. (2) Methods: we conducted a retrospective analysis of patients with a histological diagnosis of onychopapilloma who underwent ultrasonographic examination in our Dermatology Unit from January 2019 to December 2021. (3) Results: Six patients were enrolled. Erythronychia, melanonychia, and splinter hemorrhages were the main dermoscopical findings. Ultrasonography detected nail bed dishomogeneity in three patients (50%) and a distal hyperechoic mass (5 patients, 83.3%). Color Doppler imaging did not show vascular flow in any of the cases. (4) Conclusions: the detection of a subungual distal non-vascularized hyperechoic mass by US, together with classical onychopapilloma clinical features, supports the diagnosis, especially in those patients who were unable to perform excisional biopsy.