Journal of Cutaneous and Aesthetic Surgery
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CASE REPORT
Year : 2021  |  Volume : 14  |  Issue : 1  |  Page : 115-118

Horn on the nail: Acquired ungual fibrokeratoma


Department of Dermatology, Venereology, and Leprology, JSS Medical College, JSS Academy of Higher Education and Research, Mysuru, Karnataka, India

Correspondence Address:
Padubidri Kombettu Ashwini
Department of Dermatology, Venereology, and Leprology, JSS Medical College, JSS Academy of Higher Education and Research, S.S. Nagar, Mysuru 570015, Karnataka.
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JCAS.JCAS_71_19

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Acquired ungual fibrokeratomas are uncommon fibrous tissue tumors that are located in the ungual area. They usually presents as asymptomatic, solitary, smooth, dome-shaped, or fingerlike, flesh-colored papules accompanying nail deformities, including a longitudinal groove and trachyonychia. Acquired periungual fibrokeratoma is considered a topographical variant of acquired digital fibrokeratoma; it has a unique “garlic clove” shape. A traumatic origin has been suggested, as acquired ungual fibrokeratomas occur most frequently on the fingers and toes. Herein, we report a case of a 29-year-old man with growth over left little finger, who was treated with surgical excision of the tissue. Histopathological examination confirmed ungual fibrokeratoma. It is a rare variant of digital fibrokeratoma, and so far the first ungual fibrokeratoma to appear de novo on little finger to the best of our knowledge.


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