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When secondary to melanocyte proliferation, it shows a brownish- black color and it is due to melanocytic nevus (MN), lentigo simplex, atypical melanocytic hyperplasia, or melanoma.2 While approximately 5% of LM in adults correspond to melanoma, it is typically benign in childhood, with MN being one of the major causes, but it shares clinical, dermoscopic, and histopathological features with subungual melanoma.3,4 Nail matrix biopsy is the gold standard for etiological diagnosis, but it is an invasive procedure, difficult to perform in children, often complicated by nail dystrophy and recurrence, which makes the decision between clinical follow-up and biopsy to be challenging

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What we have shown is those alterations can be found in the benign precursors, Bastian said

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