{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T02:14:06Z","timestamp":1776910446444,"version":"3.51.2"},"reference-count":8,"publisher":"CSIRO Publishing","issue":"4","license":[{"start":{"date-parts":[[2025,5,22]],"date-time":"2025-05-22T00:00:00Z","timestamp":1747872000000},"content-version":"vor","delay-in-days":1617,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,12,22]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION<\/jats:title>\n                    <jats:p>Subungual haemorrhage describes blood located between the nail matrix and nail plate caused by trauma. Lack of recalled trauma and long duration of nail pigmentation results in specialist referrals to rule out malignant pathology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>AIM<\/jats:title>\n                    <jats:p>This report aims to describe the macroscopic and dermoscopic characteristics of subungual haemorrhage and to highlight its clinical differentiation from melanocytic lesions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>Ninety-eight nails were assessed. Pigmentation in fifty-nine was due to subungual haemorrhage and was melanocytic in the remainder (identified by a longitudinal pigmented band).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Pigmentation in subungual haemorrhage had a clear proximal margin (73%) and the dermoscopic pattern was homogenous (97%), globular (78%) or streaky (34%). Features included peripheral fading (68%) and periungual haemorrhage (5%). Malignancy could be excluded in these cases by careful clinical evaluation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION<\/jats:title>\n                    <jats:p>A combination of macroscopic and dermoscopic characteristics help make a confident diagnosis of subungual haemorrhage. A two-stage process can aid clinical diagnosis by looking for known features of subungual haemorrhage and identifying absence of malignant features.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/hc20092","type":"journal-article","created":{"date-parts":[[2020,12,16]],"date-time":"2020-12-16T23:08:55Z","timestamp":1608160135000},"page":"368-372","source":"Crossref","is-referenced-by-count":4,"title":["Macroscopic and dermoscopic evaluation used to differentiate subungual haemorrhage from melanocytic lesions"],"prefix":"10.1071","volume":"12","author":[{"given":"Mirain","family":"Phillips","sequence":"first","affiliation":[{"name":"ADepartment of Dermatology, Waikato Hospital, Waikato District Health Board, Hamilton, New Zealand"},{"name":"BCorresponding author. Email: mirain.phillips@sky.com"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda","family":"Oakley","sequence":"additional","affiliation":[{"name":"ADepartment of Dermatology, Waikato Hospital, Waikato District Health Board, Hamilton, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2020,12,17]]},"reference":[{"issue":"11","key":"2025111814135972200_R1","doi-asserted-by":"publisher","first-page":"793","DOI":"10.1097\/DAD.0000000000001106","article-title":"Pigmented lesions of the nail unit.","volume":"40","author":"Nevares-Pomales","year":"2018","journal-title":"Am J Dermatopathol."},{"issue":"2","key":"2025111814135972200_R2","doi-asserted-by":"publisher","first-page":"70","DOI":"10.1159\/000458728","article-title":"Dermoscopy in the evaluation of nail disorders.","volume":"3","author":"Alessandrini","year":"2017","journal-title":"Skin Appendage Disord."},{"issue":"6","key":"2025111814135972200_R3","doi-asserted-by":"publisher","first-page":"1224","DOI":"10.1111\/bjd.12209","article-title":"Dermoscopy of subungual haemorrhage: its usefulness in differential diagnosis from nail-unit melanoma.","volume":"168","author":"Mun","year":"2013","journal-title":"Br J Dermatol."},{"issue":"1","key":"2025111814135972200_R4","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1111\/j.1346-8138.2010.01175.x","article-title":"Key point in dermoscopic differentiation between early nail apparatus melanoma and benign longitudinal melanonychia.","volume":"38","author":"Koga","year":"2011","journal-title":"J Dermatol."},{"issue":"4","key":"2025111814135972200_R5","doi-asserted-by":"publisher","first-page":"765","DOI":"10.1111\/j.1365-2133.2009.09594.x","article-title":"Dermoscopic features of acral lentiginous melanoma in a large series of 110 cases in a white population.","volume":"162","author":"Phan","year":"2009","journal-title":"Br J Dermatol."},{"issue":"4","key":"2025111814135972200_R6","doi-asserted-by":"publisher","first-page":"732","DOI":"10.1111\/jdv.13991","article-title":"Clinical and dermoscopic clues to differentiate pigmented nail bands: an International Dermoscopy Society study.","volume":"31","author":"Benati","year":"2016","journal-title":"J Eur Acad Dermatol Venereol."},{"issue":"4","key":"2025111814135972200_R7","doi-asserted-by":"publisher","first-page":"773","DOI":"10.1016\/S0190-9622(08)81099-7","article-title":"Recognition of subungual hematoma as an imitator of subungual melanoma.","volume":"23","author":"Fountain","year":"1990","journal-title":"J Am Acad Dermatol."},{"issue":"1","key":"2025111814135972200_R8","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1111\/j.1529-8019.2007.00106.x","article-title":"Dermoscopy provides useful information for the management of melanonychia striata.","volume":"20","author":"Thomas","year":"2007","journal-title":"Dermatol Ther."}],"container-title":["The Journal of Primary Health Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/connectsci.au\/hc\/article-pdf\/12\/4\/368\/223125\/hc20092.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/connectsci.au\/hc\/article-pdf\/12\/4\/368\/223125\/hc20092.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T19:14:02Z","timestamp":1763493242000},"score":1,"resource":{"primary":{"URL":"https:\/\/connectsci.au\/hc\/article\/12\/4\/368\/34989\/Macroscopic-and-dermoscopic-evaluation-used-to"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,17]]},"references-count":8,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2020,12,17]]},"published-print":{"date-parts":[[2020,12,22]]}},"URL":"https:\/\/doi.org\/10.1071\/hc20092","relation":{},"ISSN":["1172-6156"],"issn-type":[{"value":"1172-6156","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,17]]}}}