Abstract
BACKGROUND: The clinical appearance of acral melanoma is diverse and can cause diagnostic difficulties in individual cases. CASE DESCRIPTION: We present a clinical case of an 83-year-old patient with a melanoma in the heel area that was initially interpreted as a pressure ulcer, resulting in delayed and more complicated treatment. CONCLUSIONS: Melanomas should be included in the differential diagnosis even in "typical" pressure ulcer areas. Against the background of increasingly poor healthcare in rural areas, an increase in such cases can be expected.