• 1

    Boffeli TJ, Abben KW: Acral fibrokeratoma of the foot treated with excision and trap door flap closure: a case report. J Foot Ankle Surg 53: 449, 2014.

    • Crossref
    • PubMed
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 2

    Choi JH, Jung SY, Chun JS, et al: Giant acquired digital fibrokeratoma occurring on the left great toe. Ann Dermatol 23: 64, 2011.

    • Crossref
    • PubMed
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 3

    Baykal C, Buyukbabani N, Yazganoglu D, et al: Acquired digital fibrokeratoma. Cutis 79: 129, 2015.

  • 4

    Beer TW, Lam MH, Heenan PJ: “Tumors of Fibrous Tissue Involving the Skin,” in Lever's Histopathology of the Skin, 10th Ed, edited by DE Elder, R Elenitsas, BL Johnson, GE Murphy, et al, p 989, Lippincott Williams & Wilkins, Philadelphia, PA, 2009.

    • Search Google Scholar
    • Export Citation
  • 5

    Selmanowitz VJ: Acral fibrokeratoma. Int J Dermatol 10: 166, 1971.

  • 6

    Fetsch JF, Laskin WB, Miettinen M: Superficial acral fibromyxoma: a clinicopathologic and immunohistochemical analysis of 37 cases of a distinctive soft tissue tumor with a predilection for the fingers and toes. Hum Pathol 32: 704, 2001.

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7

    Yelamos O, Alegre M, Graces JR, et al: Periungual acral fibrokeratoma: surgical excision using a banner flap. Actas Dermosifiliogr 104: 830, 2013.

  • 8

    Kint A, Baran R, De Keyser H: Acquired (digital) fibrokeratoma. J Am Acad Dermatol 12: 816, 1985.

  • 9

    Calonje E, MacKie RM: “Soft-tissue Tumors and Tumour-like Conditions,” in Rooks's Textbook of Dermatology, 7th Ed, edited by T Burns, SM Breathnach, N Cox, C Griffiths, p 56.4, Blackwell Science, Oxford, 2004.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 10

    Rubegni P, Poggiali S, Lamberti A, et al: Dermoscopy of acquired digital fibrokeratoma. Australas J Dermatol 53: 47, 2012.

    • Crossref
    • PubMed
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 11

    de Freitas PM, de Sb Xavier MH, Pereira GB, et al: Acquired fibrokeratoma presenting as a giant pedunculated lesion on the heel. Dermatol Online J 14: 10, 2008.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12

    Kakurai M, Yamada T, Kiyosawa T, et al: Giant acquired digital fibrokeratoma. J Am Acad Dermatol 48(suppl): S67, 2003.

Acral Fibrokeratoma

A Rare Pedal Soft-Tissue Mass

Dyane E. Tower American Podiatric Medical Association, Bethesda, MD.

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 DPM, MPH, MS
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Jeffrey R. Hammond University Hospitals, Cleveland, OH.

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Acral fibrokeratoma is a rare soft-tissue mass, more commonly found on the hands and rarely on the feet. This case report of a 40-year-old Hispanic man highlights an unusually located acral fibrokeratoma on the second toe, describes the clinical presentation and microscopic and pathologic findings, discusses differential diagnoses, and presents treatment options.

Corresponding author: Dyane E. Tower, DPM, MPH, MS, American Podiatric Medical Association, 9213 Old Georgetown Rd, Bethesda, MD 20814. (E-mail: detower@apma.org)