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Image Number 2005 (Acral fibrokeratoma)

Papules,skin coloured

Diagnosis: Acral fibrokeratoma

Site: Finger

Sex: M

Age: 32


Description: Hyperkeratotic papule surrounded by a collar.

Submitted by: Nameer Al-Sudany

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Differential Diagnosis


AcraI fibrokeratoma, often called acquired digital fibrokeratoma, is characterized by a pinkish, hyperkeratotic, horn-like projection occurring on a finger, toe, or palm. The projection usually emerges from a collarette of elevated skin. The average age of the patient is 40. The lesion resembles a rudimentary supernumerary digit, cutaneous horn, or a neuroma. Simple surgical excision or laser ablation at the level of the skin surface is effective.

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