The acquired digital fibrokeratoma is usually misdiagnosed as a wart.
ACQUIRED DIGITAL FIBROKERATOMA
The acquired digital fibrokeratoma (ADFK) is a benign fibrous growth that usually occurs on the finger and thus may cause persistent functional limitation.
- The average age of patients at onset is about 40 years of age.
- For a similar growth arising from the proximal nail fold, there is the acquired periungual fibrokeratoma.
A flesh-colored papule or nodule with an epidermal collarette on the proximal portion of the index finger is most characteristic. Lesions may also occur on other fingers or even the heel. The main differential is a wart which, in contrast to the ADFK, gives rise to multiple lesions and has black dots.
Here on the heel.
A similar lesion called an acquired periungual fibrokeratoma.
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