Subungual Exostosis in a Young Soccer Player

Authors

  • Georgi Tchernev Medical Institute of the Ministry of Interior, Medical Institute of Ministry of Interior (MVR), Department of Dermatology, Venereology and Dermatologic Surgery, Sofia; Onkoderma, Private Clinic for Dermatologic Surgery, Sofia
  • Yavor Grigorov University Hospital Lozenetz, Department of Orthopedics and Traumatology, Sofia
  • Stanislav Philipov Sofiiski universitet Sveti Kliment Okhridski, Meditskinski fakul'tet, Department of General and Clinical Pathology, Sofia
  • Anastasiya Chokoeva Medical University Plovdiv, Dermatology and Venereology, Plovdiv
  • Uwe Wollina Städtisches Klinikum Dresden, Department of Dermatology and Allergology, 01067 Dresden
  • Torello Lotti Universitario di Ruolo, Dipartimento di Scienze Dermatologiche, Università degli Studi di Firenze, Facoltà di Medicina e Chirurgia, Chair of Dermatology, University of Rome G. Marconi, Rome 00186
  • Jose Cardoso Centro Hospitalar e Universitario de Coimbra EPE, Department of Dermatology and Venereology, Coimbra
  • Ilia Lozev Medical Institute of the Ministry of Interior, Medical Institute of Ministry of Interior (MVR), Department of Dermatology, Venereology and Dermatologic Surgery, Sofia
  • Georgi Konstantinov Maximov Medical Institute of the Ministry of Interior, Medical Institute of Ministry of Interior (MVR), Department of Dermatology, Venereology and Dermatologic Surgery, Sofia

DOI:

https://doi.org/10.3889/oamjms.2018.002

Keywords:

Surgery, exostosis, nail, verruca vulgaris, treatment outcome

Abstract

BACKGROUND: Subungual exostosis is a relatively uncommon, benign osteocartilaginous tumor of the distal phalanx of the toes or fingers in young adults, considered as a rare variant of osteochondroma. Differential diagnoses include subungual verruca (viral wart), pyogenic granuloma, osteochondroma, amelanotic subungual melanoma and glomus tumour. Misdiagnosis and total onychodystrophy frequently occur as a result of late treatment or inadequate treatment strategy. Dermoscopy could be a useful technique, involved in the diagnostic process, although X-ray examination and histopathology are mandatory for the diagnosis.

CASE REPORT: We report a rare case of subungual exostosis of the great toe associated with repeated trauma of the nail bed. The lack of radiographic and histopathological examination could lead to misdiagnosis and inadequate treatment. Although completely benign, subungual exostosis should be considered in differential diagnosis of nail bed tumors in young adults, in order to avoid associated complications and unneeded aggressive surgical interventions.

CONCLUSION: Complete excision of the lesion and delicate separation from the underlying nail bed structures results in total resolve of the problem, by providing the lowest risk of recurrences.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

DaCambra MP, Gupta SK, Ferri-de-Barros F. Subungual exostosis of the toes: a systematic review. Clin Orthop Relat Res. 2014; 472(4):1251-9. https://doi.org/10.1007/s11999-013-3345-4 PMid:24146360 PMCid:PMC3940761

Aggarwal K, Gupta S, Jain VK, Mital A, Gupta S. Subungual exostosis, Indian J Dermatol Venereol Leprol, 2008; 74(2):173–174. https://doi.org/10.4103/0378-6323.39722 PMid:18388393

Russell JD, Nance K, Nunley JR, Maher IA. Subungual exostosis. Cutis. 2016; 98(2):128-9. Dave S, Carounanidy U, Thappa DM, Jayanthi S. Subungal exostosis of the thum. Dermatol Online J. 2004; 10(1):15.

Guarneri C, Guarneri F, Risitano G et al. Solitary asymptomatic nodule of the great toe. Int J Dermatol. 2005; 44: 245-247. https://doi.org/10.1111/j.1365-4632.2004.02475.x PMid:15807738

Tuzuner T, Kavak A, Parlak AH, Ustundag N. Subungual osteochondroma. JAPMA. 2006; 96(2):154 – 157. https://doi.org/10.7547/0960154

Letts M, Davidson D, Nizalik E. Subungual exostosis: diagnosis and treatment in children. J Trauma. 1998; 44(2):346-349. https://doi.org/10.1097/00005373-199802000-00020 PMid:9498509

Ilyas W, Geskin L, Joseph AK, Seraly MP, Subungual exostosis of the third toe, J Am Acad Dermatol. 2001; 45(6 Suppl):S200–S201. https://doi.org/10.1067/mjd.2001.102666 PMid:11712058

Resnick D, Kyria Kos M, Greenway GD. Tumors and tumor like lesions of bone: Imaging and pathology of specific lesions. In: Resnick D, ed. Diagnosis of bone and joint disorders, Vol 6. 3rd edn. Philadelphia: WB Saunders Company, 1995: 3628 - 3938.

Piccolo V, Argenziano G, Alessandrini AM, Russo T, Starace M, Piraccini BM. Dermoscopy of Subungual Exostosis: A Retrospective Study of 10 Patients. Dermatology. 2017; 233(1):80-85. https://doi.org/10.1159/000471800 PMid:28482347

Published

2017-12-30

How to Cite

1.
Tchernev G, Grigorov Y, Philipov S, Chokoeva A, Wollina U, Lotti T, Cardoso J, Lozev I, Maximov GK. Subungual Exostosis in a Young Soccer Player. Open Access Maced J Med Sci [Internet]. 2017 Dec. 30 [cited 2021 Apr. 12];6(1):52-4. Available from: https://oamjms.eu/index.php/mjms/article/view/oamjms.2018.002

Most read articles by the same author(s)

1 2 3 4 5 6 7 8 9 10 > >>