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I have a black dot on my toenail what could

DOCTOR OF THE MONTH - Jan 2014
Jan 2014
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Answered by

Dermatologist
Practicing since : 2002
Answered : 7536 Questions
Question
I have a black dot on my toenail what could that be
Sun, 4 Feb 2018 in Skin Hair and Nails
 
 
Answered by Dr. Kakkar S. 3 hours later
Brief Answer:
Kindly upload images

Detailed Answer:
Hello. Thank you

I am Dr kakkar (Dermatologist and Venereologist). I have noted your concern.

I request you to kindly upload an image of the affected area in "Reports Section" so that I am able to guide you better.
Also let me know, since how long it is present?

Regards
Above answer was peer-reviewed by
 
Follow-up: I have a black dot on my toenail what could 45 minutes later
here's your picture
 
 
Answered by Dr. Kakkar S. 18 hours later
Brief Answer:
Possibility of subungual hematoma

Detailed Answer:
Thank you. I have viewed the image.

It is most likely a subungual hematoma. It is not a melanoma as it lies away from the nail folds.

Since how long have you noticed it? Is there a history of trauma?or vigorous activity?
Has it changed or drifted distally since you noticed it first?

Regards
Above answer was peer-reviewed by
 
Follow-up: I have a black dot on my toenail what could 10 minutes later
for like 2 weeks
 
 
Answered by Dr. Kakkar S. 6 hours later
Brief Answer:
Just observe it for 1-2 months

Detailed Answer:
Hi.
Just observe it for 1-2 months. If it moves distally it is most certainly a hematoma. Subungual melanoma usually presents as a band along the nail rather than a an isolated spot in the nail bed. It usially has a communication with the nail fold because active melanocytes are only present in the nail fold and nail matrix, not in the nail bed.

Regards
Above answer was peer-reviewed by
 
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