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Nasca C, Xenos D, Barone Y, et al

D., Molden, D
Understanding the anatomical and physiological characteristics of the pediatric nail unit is essential for accurate diagnosis and appropriate management

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Pigmented nail lesions can exhibit various colors and sizes, and their origin can be either melanocytic or non-melanocytic.1 In cases of non-melanocytic pigment lesions, such as bacterial or fungal infections and hematomas, clinical findings along with supplementary examinations like dermoscopy, mycological testing, and nail clipping often contribute to a definitive diagnosis.1 Melanocytic pigmentation arises from the deposition of melanin in the nail plate, a condition referred to as true or Longitudinal Melanonychia (LM)

Use of iontophoresis with Verapamil and Dexamethasone, applied to the affected areas has been studied[13] but a recent placebo controlled trial failed to show a significant improvement
