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http://dx.doi.org/10.1684/ejd.2009.0771DOI Listing

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Article Synopsis
  • Acquired digital fibrokeratoma (ADFK) is a rare benign skin tumor, mainly affecting women and commonly found on the hands and feet, with a higher occurrence on the third finger and first toe.
  • A study analyzing 21 Chinese patients showed that ADFK lesions are typically rod-shaped or dome-shaped, with specific locations on the fingers and toes, particularly the proximal nail fold.
  • Surgical excision is the preferred treatment, and follow-ups indicated no recurrence, with most cases linked to previous trauma and variations in features based on location and gender.
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Background: Juvenile dermatomyositis (JDM) is the most common subtype of idiopathic inflammatory myopathies in childhood. Gottron's papules, shawl sign, periorbital heliotrope rash, and periungual telengiectasis are characteristic skin findings of the disease. Besides characteristic skin involvement, some other skin findings, such as angioedema, may be seen prior or in the course of the disease.

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Horn on the Nail: Acquired Ungual Fibrokeratoma.

J Cutan Aesthet Surg

January 2021

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

Article Synopsis
  • * The acquired periungual fibrokeratoma is a specific variant, characterized by a "garlic clove" shape, and is thought to have a traumatic origin, mainly occurring on fingers and toes.
  • * A case study of a 29-year-old man with a fibrokeratoma on his left little finger was reported, with surgical excision confirming the diagnosis, marking it as the first documented instance of this type on a little finger.
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Acquired periungual fibrokeratoma is an uncommon benign fibrous tumour occurring in the periungual area, predominantly the proximal nail fold. We describe a case of acquired periungual fibrokeratoma with an unusual presentation of mixed features including dome-shaped and branching type in order to facilitate the recognition of this variant.

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