Brand-Ad-30-6
 IADVL
Indexed with PubMed and Science Citation Index (E) 
 
Users online: 2607 
     Home | Feedback | Login 
About Current Issue Archive Ahead of print Search Instructions Online Submission Subscribe What's New Contact  
  Navigate here 
  Search
 
   Next article
   Previous article 
   Table of Contents
  
 Resource links
   Similar in PUBMED
    Search Pubmed for
    Search in Google Scholar for
  Related articles
   Article in PDF (608 KB)
   Citation Manager
   Access Statistics
   Reader Comments
   Email Alert *
   Add to My List *
* Registration required (free)  

 
  In this article
   Introduction
   Case Report
   Discussion
   References
   Article Figures

 Article Access Statistics
    Viewed3579    
    Printed49    
    Emailed0    
    PDF Downloaded2    
    Comments [Add]    

Recommend this journal

 


 
CASE REPORT
Year : 1998  |  Volume : 64  |  Issue : 2  |  Page : 78-79

Acquired digital fibrokeratoma


Department of Dermato-Venereology, All India institute of Medical Sciences, New Delhi-110029, India

Correspondence Address:
Neena Khanna
Department of Dermato-Venereology, All India institute of Medical Sciences, New Delhi-110029
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


PMID: 20921721

Rights and PermissionsRights and Permissions



How to cite this article:
Rathi SK, Dogra D, Khanna N. Acquired digital fibrokeratoma. Indian J Dermatol Venereol Leprol 1998;64:78-9

How to cite this URL:
Rathi SK, Dogra D, Khanna N. Acquired digital fibrokeratoma. Indian J Dermatol Venereol Leprol [serial online] 1998 [cited 2020 Oct 25];64:78-9. Available from: https://www.ijdvl.com/text.asp?1998/64/2/78/4651





  Introduction Top


Acquired digital fibrokeratoma (ADFK) is a benign lesion which occurs on the fingers and toes[1] and occasionally on the palms and soles.[2] Trauma is thought to be a precipitating factor in some cases.[2] Clinically the lesion usually occurs in adults as a dome shaped papule, though it may be elongated or pedunculated.[2]


  Case Report Top


A 25-year-old male presented with a 3-year history of single asymptomatic solid papule on dorsal aspect of left index finger. There was no history of any preceding trauma. The lesion increased in size for initial 5 moths and remained static thereafter. Clinical examination revealed a single skin coloured, 0.5 cm dome shaped papule with slight central depression on the dorsal aspect of the base of left index finger [Figure - 1]. Histopathological examination demonstrated hyperkeratosis and acanthosis of the epidermis and the core of the lesion was formed of interwoven bundles of collagen predominantly oriented along the long axis of the lesion.


  Discussion Top


Acquired digital fibrokeratoma is a benign lesion which presents as a dome-shaped papule. It may be elongated or pedunculated. It usually has a collarette of slightly raised skin at its base. Occasionally the surface may appear warty. Differential diagnoses include dermatofibroma, viral warts, supernumerary digit and cutaneous horn. Histopathological examination usually reveals thick interwoven dermal collagen bundles oriented along the vertical axis of the lesion. There is an increase in vascularity of the lesion. Occasionally there is an obvious increase in fibroblasts and rarely the collagen bundles may be separated by edema.[2] Surgical excision is the treatment of choice.



 
  References Top

1.Berger RS, Spielvogel RL. Dermal papule on the distal digit, Arch Dermatol 1988; 124:1559.  Back to cited text no. 1  [PUBMED]  [FULLTEXT]
2.Kint A, Baran R, De Keyser H. Acquired (digital)fibrokeratoma. J Am Acad Dermatol 1985; 12:816-21.  Back to cited text no. 2  [PUBMED]  [FULLTEXT]


    Figures

[Figure - 1]



 

Top
Print this article  Email this article
Previous article Next article

    

Online since 15th March '04
Published by Wolters Kluwer - Medknow