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'''Acquired digital fibrokeratoma''' is a rare benign [[skin]] tumour.<ref name=pmid29777543>{{cite journal |authors=Shih S, Khachemoune A |title=Acquired digital fibrokeratoma: review of its clinical and dermoscopic features and differential diagnosis |journal=Int J Dermatol |volume=58 |issue=2 |pages=151–158 |date=February 2019 |pmid=29777543 |doi=10.1111/ijd.14046 |url=}}</ref> | '''Acquired digital fibrokeratoma''' is a rare benign [[skin]] tumour.<ref name=pmid29777543>{{cite journal |authors=Shih S, Khachemoune A |title=Acquired digital fibrokeratoma: review of its clinical and dermoscopic features and differential diagnosis |journal=Int J Dermatol |volume=58 |issue=2 |pages=151–158 |date=February 2019 |pmid=29777543 |doi=10.1111/ijd.14046 |url=}}</ref> | ||
==General== | |||
*May be due to trauma.<ref name=pmid31348447>{{cite journal |authors=Mancuso CJ, Magro CM, Lipner SR |title=Acquired digital fibrokeratoma presenting as a painless nodule on the right fifth fingernail |journal=Cutis |volume=103 |issue=6 |pages=340–342 |date=June 2019 |pmid=31348447 |doi= |url=}}</ref> | |||
==Gross== | |||
*Well circumscribed nodule. | |||
==Microscopic== | |||
Features:<ref name=pmid31348447/> | |||
*Acanthotic epidermis. | |||
*Fibrotic dermis with "vertically oriented" collagen bundles. | |||
**"Vertically oriented": deep to superficial (as opposed to along the surface of the skin). | |||
DDx: | |||
*[[Angiofibroma]]. | |||
*[[Verruca vulgaris]] - has koilocytes. | |||
==Sign out== | |||
<pre> | |||
Skin Lesion, Left Fifth Digit, Excision: | |||
- Acquired digital fibrokeratoma. | |||
Comment: | |||
Acquired digital fibrokeratoma is a benign skin lesion. Trauma may play a role in its formation. | |||
</pre> | |||
==See also== | ==See also== |
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