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What Does A Blue/green Horizontal Line On Nail Indicate?

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Posted on Sat, 7 Jun 2014
Question: Have a blue/green looking horizontal line (going left to right) not super big nor has it grown/changed. I was diagnosed with nail fungus yesterday because the nail was yellowing and doctor said the discoloration isn't melanoma but wasn't sure what it was from. Just worried about melanoma. Any feedback appreciated
doctor
Answered by Dr. Dr. Kakkar (3 hours later)
Brief Answer:
Upload a Clear Digital Photograph.

Detailed Answer:
Hello and welcome to healthcaremagic

I am Dr. Kakkar. I have gone through the query.

I would like to gather some more information from you in order to be able to help you better

-Since how long do you notice this Line?
-Does the discoloration extend on to the cuticle Or Proximal Or Lateral Nail folds?
-Is it Uniform Discoloration Or is it uneven?

I would request you kindly upload a clear digital photograph (Preferably 2-3 photographs) of the affected Nail, so that I may be able to guide you better.

regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (6 minutes later)
I noticed it several weeks ago, it doesnt reach the cutical or nail folds on either side. Its a straight line. Its uniforn. First pic was when i first discovered it a few weeks ago second, third and fourth are rom today. f
doctor
Answered by Dr. Dr. Kakkar (1 hour later)
Brief Answer:
Subungual Hematoma

Detailed Answer:
Hi.

Thanks for the pictures. It is not likely to be a Melanoma. Likely to be a subungual Hematoma

Melanoma presents usually as "longitudinal melanonychia" extending from the proximal to the distal nail fold.

One of the biological rules of the nail unit is that functioning melanocytes are limited to the matrix and nail folds, but not found in the nail bed. This means that if pigment change occurs within a structurally normal nail or nail bed, with no continuity with the nail folds or matrix, then it is not likely to be melanocytic and hence cannot be a melanoma.

The lesion over here, most likely appears to be either subungual hematoma.

regards
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

Answered : 9612 Questions

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What Does A Blue/green Horizontal Line On Nail Indicate?

Brief Answer: Upload a Clear Digital Photograph. Detailed Answer: Hello and welcome to healthcaremagic I am Dr. Kakkar. I have gone through the query. I would like to gather some more information from you in order to be able to help you better -Since how long do you notice this Line? -Does the discoloration extend on to the cuticle Or Proximal Or Lateral Nail folds? -Is it Uniform Discoloration Or is it uneven? I would request you kindly upload a clear digital photograph (Preferably 2-3 photographs) of the affected Nail, so that I may be able to guide you better. regards