Hydrogen peroxide discolors blood in the cavity of the hematoma under the nail and in the skin over the bruise

Purpose. Modern medical standards do not contain information about the urgent bleaching of nail hematomas and bruises. The aim of this work is developing of new ways and means for blood bleaching of the bruising and subungual hematomas for its immediate discoloration. Materials and methods. The peculiarities of hydrogen peroxide effect on blood color alteration in different environment have been studied in laboratory, by experiment and in clinical conditions. We studied the peroxide effect on liquid and dry venous blood in a Petri dishes, in bloody gauze bandages, on the surface of the skin, in hematoma under the nail in humans and in the skin over the bruise created by intradermal injection of pig blood. The studies take into account the role of local interaction such factors as the duration of interaction, the concentration of ingredients, local temperature, the value of alkaline and osmotic activity of the studied solutions. The results were recorded by color photo and video. Results. In laboratory and experimental conditions the red and blue blood as well as red, brown and/or blue stained tissues were shown to be urgently bleached by alkaline solutions of hydrogen peroxide. Hemoglobin was found to be the «dye» of blood-stained tissues. We listed the inventions to the intradermal bruising discoloration, subungual hematomas, and fresh and dried blood. The main ingredients of the inventions for intradermal and subungual hematomas bleaching are reported. The essence of the invented methods of skin and nail hematomas discoloration is presented. Conclusion. The alkaline solution of hydrogen peroxide can be used for emergency discoloration subungual hematoma, the skin in the area of bruise and the bandage stained with blood.

Subungual Nail Pigmentation and Malalignment of the Great Toe Nail in a Cancer Patient - A Diagnostic Challenge

Subungual pigmentation may have a variety of underlying pathologies, but clinicians should consider malignancies such as subungual melanoma or metastasis, even if they are not common. A delayed diagnosis can dramatically worsen the prognosis. Therefore, histologic examination is highly recommended. We present a 75-year-old female cancer patient presenting with subungual blackish pigmentation of the great toe nail for several years suspicious of a subungual melanoma even by dermoscopy. Nail avulsion and histological investigations excluded melanoma. The final diagnosis was subungual hematoma with growth malalignment of the great toe nail.