Dustine Reich, Cynthia M Magro, Kira Minkis, Shari R Lipner
{"title":"Nail Squamous Cell Carcinoma Involving the Nail Fold in a Skin of Color Patient: A Case Report.","authors":"Dustine Reich, Cynthia M Magro, Kira Minkis, Shari R Lipner","doi":"10.1159/000552437","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Nail squamous cell carcinomas (SCCs) in skin of color (SoC) patients are exceedingly rare, with only 29 cases previously reported.</p><p><strong>Case presentation: </strong>We describe the case of a female Fitzpatrick skin-type V patient who presented with a 3-year history of a hyperpigmented plaque involving the proximal nail fold of her right thumbnail. The patient reported a positive Pap smear for human papillomavirus (HPV) 16 and 18 seventeen years ago and had not received the HPV vaccine. Biopsy showed SCC positive for high-risk HPV, and the patient underwent Mohs surgery.</p><p><strong>Conclusion: </strong>This case adds to only five prior reports of female SoC patients with nail SCC and emphasizes the importance of considering nail SCC in the differential diagnosis of a hyperpigmented nail fold, especially with a history of HPV.</p>","PeriodicalId":9619,"journal":{"name":"Case Reports in Dermatology","volume":"18 1","pages":"389-394"},"PeriodicalIF":0.7000,"publicationDate":"2026-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13341100/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Case Reports in Dermatology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1159/000552437","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/1/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"DERMATOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: Nail squamous cell carcinomas (SCCs) in skin of color (SoC) patients are exceedingly rare, with only 29 cases previously reported.
Case presentation: We describe the case of a female Fitzpatrick skin-type V patient who presented with a 3-year history of a hyperpigmented plaque involving the proximal nail fold of her right thumbnail. The patient reported a positive Pap smear for human papillomavirus (HPV) 16 and 18 seventeen years ago and had not received the HPV vaccine. Biopsy showed SCC positive for high-risk HPV, and the patient underwent Mohs surgery.
Conclusion: This case adds to only five prior reports of female SoC patients with nail SCC and emphasizes the importance of considering nail SCC in the differential diagnosis of a hyperpigmented nail fold, especially with a history of HPV.