Subcorneal haemorrhage (*) is a differential diagnosis of acral melanoma. This patient who was a squash player consulted for this pigmentation of his anterior right foot. Dermoscopy revealed multiple brown pebble-like
droplets on the ridges. This is a unique feature in dermoscopy named "
pebbles on the ridges"
Brown
sattelites (circled on the picture) were a helpful clue for the diagnosis. Superfical shaving of the corneal layer with a blade confirmed the diagnosis.
* subcorneal hematoma and black heel are synonyms.
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhC62SJTKoF4VNyHHrVonJPpHQVhuVeJaVzcpsQgWJJfp6gQPMW_9kNtzG7uyI0nE-a7BhaEVN8MhgeVfPc9KjrPa-U_FqKMt7LTn8jzrO9Vs8eLDHzlB_Zy2mHUtPT1yIPdI06XL9jwzA/s400/Jodi2+-+web.jpg)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiLRb74U3b8qUlW-6Utt6iUFSo7I28WEi98QFMAt8vzzqb7tpSheIwW5uoXUr0hbzCYYskJ3nrOvJTi1izk7b_gq3AfIDAlYacKWXns8PodDz-N6oLUhFK2lAgtW45QQdxqta7wvsO8KMU/s400/Jodi4+-web-droplet.jpg)