A Case of Rapid Transformation of a Nail Matrix Nevi to Melanoma After Messenger RNA COVID-19 Vaccine: A Cause or a Coincidence?

Publication date: Dec 01, 2024

Subungual melanoma is a variant of acral lentiginous melanoma that arises from the nail matrix. Subungual melanomas present unique clinical challenges due to diagnostic difficulties and the lack of a standardized protocol for surveillance, also, there are no evidence-based studies that determine the ideal frequency and duration of clinical and dermoscopy follow-ups in patients with longitudinal melanonychia. This is highlighted by a case of longitudinal melanonychia in a 53-year-old patient who underwent malignant transformation to subungual melanoma after a biphasic growth. Another problem raised is how long to observe longitudinal melanonychia, with the conclusion that it should be observed for lifetime. Finally, this report also illustrates the possible role of the COVID-19 messenger RNA vaccine in cancer development and/or progression.

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Concepts Keywords
Covid dermoscopy
Melanoma longitudinal melanonychia
Old mrna-based vaccine
Rapid subungual melanoma
Vaccine surveillance

Semantics

Type Source Name
disease MESH Nevi
disease MESH Melanoma
pathway KEGG Melanoma
disease IDO role
disease MESH COVID-19
disease MESH cancer
pathway REACTOME Reproduction
drug DRUGBANK Coenzyme M
drug DRUGBANK Albendazole
disease MESH hyperplasia
disease MESH misdiagnosis
disease IDO history
disease MESH metastasis
drug DRUGBANK Bismuth subgallate
disease MESH sarcoma

Original Article

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