Melanonychia: Pictures, Types, Symptoms, Causes, and More Nail changes can reveal major systemic disease, from cirrhosis and endocarditis to melanoma., Splinter hemorrhages + fever murmur should make you think of infective endocarditis., Single Differential diagnosis of pigmented nail lesions Anais Brasileiros de Dermatologia Ungual Melanotic Macules DoveMed
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melanotic macule nail Clinical picture of melanocytic activation affecting all fingernails