Onychomatricoma is an uncommon benign tumor of the nail matrix with typical
clinical features. We report here 3 cases of onychomatricoma, including th
e first case in a black patient, In all three patients a presumptive diagno
sis of onychomatricoma was made by clinical examination, The affected nails
were thickened and showed a marked overcurvature of the nail plate, Fronta
l view of the nail revealed the presence of small woodworm-like cavities wi
thin the nail plate. In all cases the pathology showed multiple fibroepithe
lial projections that extended into the thickened nail plate, The tumor epi
thelium was identical to that of the normal nail matrix and keratinized wit
hout a granular layer.