• 1.

    Shih S & Khachemoune A: Acquired digital fibrokeratoma: review of its clinical and dermoscopic features and differential diagnosis. Int J Dermatol 58: 151, 2019.

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

    Bart RS , Andrade R & Kopf AW et al.: Acquired digital fibrokeratomas. Arch Dermatol 97: 120, 1968.

  • 3.

    Ali M , Mbah CA & Alwadiya A et al.: Giant fibrokeratoma, a rare soft tissue tumor presenting like an accessory digit, a case report and review of literature. Int J Surg Case Rep 10: 187, 2015.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 4.

    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
  • 5.

    Hayashi K , Matori S & Kariya Y et al.: Dermoscopic observation of acquired digital fibrokeratoma developed on the dorsum of the fourth left toe. J Dermatol 43: 107, 2016.

    • Crossref
    • PubMed
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 6.

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

  • 7.

    Frydman AF , Mercer SE & Kleinerman R et al.: Acquired fibrokeratoma presenting as multiple plantar nodules. Dermatol Online J 16: 5, 2010.

  • 8.

    Qiao J , Liu YH & Fang K: Acquired digital fibrokeratoma associated with ciclosporin treatment. Clin Exp Dermatol 34: 257, 2009.

    • Crossref
    • PubMed
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 9.

    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

Acquired Digital Fibrokeratoma of the Toe

A Rare Anatomical Location

Soumaya Gara
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Anissa Zaouak
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Ehsen Ben Brahim
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Raja Jouini
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Samy Fenniche
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Houda Hammami
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Acquired digital fibrokeratoma is a rare and benign fibrous tumor; it is usually asymptomatic, and frequently arises from the fingers. The diagnosis is easily confirmed by pathologic evaluation. However, in some cases, it may be misdiagnosed as other benign conditions, mainly adnexal tumors and common warts, especially when located on the foot and toes. In this article, we report the case of a 45-year-old man who presented to our clinic for an acquired growth over the plantar surface of the second right toe. The tumor had evolved for 1 year and affected the patient's activities and mobility. On examination, the lesion was a dome-shaped, firm tumor with keratotic distal changes and a broad base attached to the overlying skin. Pathologic assessment was consistent with the diagnosis of acquired digital fibrokeratoma, ruling out other causes of abnormal growth. The tumor was completely excised with surgery, with excellent outcomes and no recurrence at follow-up. Although acquired digital fibrokeratoma is a rare condition, mostly located on the distal upper extremities and fingers, it should be considered in the differential diagnosis of plantar soft-tissue tumors. Surgical management remains the mainstay of treatment.

Department of Dermatology, Habib Thameur Hospital, Tunis, Tunisia.

Department of Pathology, Habib Thameur Hospital, Tunis, Tunisia.

Corresponding author: Soumaya Gara, MD, Department of Dermatology, Habib Thameur Hospital, 8, Ali Ben Ayed St, Montfleury, Tunis 1008, Tunisia. (E-mail: soumayagara33@gmail.com)