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Adriana Motta, MD; Carlos López, MD; Alvaro Acosta, MD; Camilo Peñaranda, MD

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Melanoma of the ungual apparatus represents less than 3% of all cases of cutaneous melanoma.¹ To our knowledge, the medical literature reports only 6 cases of subungual melanomas in children,² and we report the first case of a subungual melanoma in a child treated with slow Mohs surgery and reconstructive surgery with a free flap to restore function.

Report of a Case

An asymptomatic, 12-year-old Hispanic girl, skin phototype III, had a brown spot under the lunula of her right thumb first noticed at the age of 3 years. A year before her visit, the spot had extended eccentrically, become darker, and filled the entire nail plate.

On physical examination, we found a dark brown macule and brown and black longitudinal streaks that filled the entire nail plate. Black pigmentation was present in the proximal nailfold (Figure 1). The remaining . . . [Full Text of this Article]

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