TY - CHAP M1 - Book, Section TI - Nail Disorders A1 - Jefferson, Julie A1 - Rich, Phoebe A2 - Kelly, A. Paul A2 - Taylor, Susan C. A2 - Lim, Henry W. A2 - Serrano, Ana Maria Anido PY - 2016 T2 - Taylor and Kelly's Dermatology for Skin of Color, 2e AB - KEY POINTSLongitudinal melanonychia (LM) is common in darker skin types, usually as a result of melanocyte activation.Atypical LM may indicate nail apparatus melanoma (NAM).Evaluation of LM for NAM includes a detailed history and physical examination, examination of all 20 nails, use of dermoscopy, and often a nail matrix biopsy.NAM has a worse prognosis than its cutaneous counterpart in large part due to delayed diagnosis.Lichen planus commonly causes LM in persons of color.Lichen planus may cause irreversible scarring nail disease. Prompt treatment is imperative.Lichen planus and psoriasis may both exist as a primary nail disease without cutaneous disease.Psoriasis of the nail unit is difficult to treat primarily because of poor medication bioavailability.Onychomycosis is the most common nail disorder. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - dermatology.mhmedical.com/content.aspx?aid=1161546680 ER -