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Godse R, Jiang AJ, Abbott J, Miller CJ, Elenitsas R, Rubin AI. Fetal-hand-like ungual fibrokeratoma. J Cutan Pathol 2023; 50:779-782. [PMID: 36748720 DOI: 10.1111/cup.14385] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2022] [Revised: 11/28/2022] [Accepted: 01/03/2023] [Indexed: 02/08/2023]
Affiliation(s)
- Rama Godse
- Department of Dermatology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | | | | | - Christopher J Miller
- Department of Dermatology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Rosalie Elenitsas
- Department of Dermatology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Adam I Rubin
- Department of Dermatology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA
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Goh JY, Chan MMF, Oh CC. Feelers projection of the toe. JAAD Case Rep 2021; 12:91-93. [PMID: 34041342 PMCID: PMC8144101 DOI: 10.1016/j.jdcr.2021.04.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Affiliation(s)
- Jia Yi Goh
- Department of Dermatology, Singapore General Hospital, Singapore
| | | | - Choon Chiat Oh
- Department of Dermatology, Singapore General Hospital, Singapore
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3
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Ballan A, Zeinaty P, Tomb R, Kechichian E, El Hachem L, Nasr M, Jabbour S. Acquired ungual fibrokeratoma: a systematic review of the literature. Int J Dermatol 2020; 60:533-539. [PMID: 33107051 DOI: 10.1111/ijd.15278] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/28/2020] [Revised: 09/24/2020] [Accepted: 09/29/2020] [Indexed: 11/26/2022]
Abstract
BACKGROUND Acquired ungual fibrokeratomas (AUFKs) are benign recurrent fibrokeratotic tumors of the nail unit of uncertain etiology. Little is known about the optimal modality to successfully treat these lesions. No systematic review addressing ungual fibrokeratomas has been published to date. OBJECTIVES The aim of this study is to summarize all the published data regarding diagnostic and therapeutic challenges of AUFKs. METHODS On August 9, 2019, a systematic search of Medline and Cochrane databases was conducted. All the studies describing the treatment of ungual fibrokeratomas, procedure description, pathological findings, outcome, and follow-up period were included in this review. RESULTS After full-text article review, 103 articles were included, representing a total of 78 lesions. The commonly used treatments for fibrokeratomas were complete tumor resection (90.5%), shave excision (8.3%), and cryotherapy (1.2%). Complete surgical excision yielded the highest cure rate among all treatment modalities (90.8%) compared to partial surgical excision (28.6%) and cryotherapy (0%). The mean follow-up period was 12.1 months (1-144). CONCLUSION Complete surgical removal preserving the matrix showed the highest cure rates and should be considered as first-line treatment for AUFKs. Future adequately designed randomized control trials are warranted to compare different treatment modalities.
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Affiliation(s)
- Anthony Ballan
- Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Saint-Joseph University, Hôtel-Dieu de France University Hospital, Beirut, Lebanon
| | - Perla Zeinaty
- Department of Dermatology, Faculty of Medicine, Saint-Joseph University, Hôtel-Dieu de France University Hospital, Beirut, Lebanon
| | - Roland Tomb
- Department of Dermatology, Faculty of Medicine, Saint-Joseph University, Hôtel-Dieu de France University Hospital, Beirut, Lebanon
| | - Elio Kechichian
- Department of Dermatology, Faculty of Medicine, Saint-Joseph University, Hôtel-Dieu de France University Hospital, Beirut, Lebanon
| | - Lena El Hachem
- Department of Obstetrics and Gynecology, Faculty of Medicine, Lebanese American University Medical Center, Beirut, Lebanon
| | - Marwan Nasr
- Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Saint-Joseph University, Hôtel-Dieu de France University Hospital, Beirut, Lebanon
| | - Samer Jabbour
- Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Saint-Joseph University, Hôtel-Dieu de France University Hospital, Beirut, Lebanon
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Hao X, Mirkin G, Baglio RJ. Recurrent Familial Digital Fibrokeratoma: A Case Report. J Foot Ankle Surg 2019; 58:1036-1039. [PMID: 31350140 DOI: 10.1053/j.jfas.2019.01.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/07/2018] [Indexed: 02/03/2023]
Abstract
Digital fibrokeratoma (DF) is an uncommon, benign, soft tissue tumor. It usually occurs sporadically in adult males, and its recurrence is rare when treated by means of surgical removal. To the best of our knowledge, we report here the first case of recurrent female familial DF. The mother's first DF, on her right hallux, was removed when she was 32 years of age, and her second fibrokeratoma, on the left fifth toe, was removed when she was 49 years of age, and then relapsed 3 years later. The daughter's first DF, on her left fifth toe, was excised when the daughter was 24 years of age and recurred 1 year later. Both the mother's and daughter's recurrent lesions were surgically excised and pathologically diagnosed as DF. Because both the mother's and daughter's DF occurred at relatively early ages, we believe that genetic factors might play a role in the tumorigenesis of DF in this family.
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Affiliation(s)
- Xingpei Hao
- Senior Scientist, Foot and Ankle Specialists of the Mid-Atlantic, LLC, Rockville, MD
| | - Gene Mirkin
- Surgeon, Foot and Ankle Specialists of the Mid-Atlantic, LLC, Kensington, MD
| | - Robert J Baglio
- Surgeon, Foot and Ankle Specialists of the Mid-Atlantic, LLC, Charlottesville, VA.
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Lee S, Kim BJ, Lee WS. Hand-like periungual fibrokeratoma. Australas J Dermatol 2018; 60:69-70. [PMID: 29896754 DOI: 10.1111/ajd.12869] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Solam Lee
- Department of Dermatology and Institute of Hair and Cosmetic Medicine, Wonju College of Medicine, Yonsei University, Wonju, Korea
| | - Beom Jun Kim
- Department of Dermatology and Institute of Hair and Cosmetic Medicine, Wonju College of Medicine, Yonsei University, Wonju, Korea
| | - Won-Soo Lee
- Department of Dermatology and Institute of Hair and Cosmetic Medicine, Wonju College of Medicine, Yonsei University, Wonju, Korea
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Shih S, Khachemoune A. Acquired digital fibrokeratoma: review of its clinical and dermoscopic features and differential diagnosis. Int J Dermatol 2018; 58:151-158. [PMID: 29777543 DOI: 10.1111/ijd.14046] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/28/2017] [Revised: 03/07/2018] [Accepted: 04/23/2018] [Indexed: 12/17/2022]
Abstract
Acquired digital fibrokeratoma (ADFK) is a rare, benign, fibrous tumor that most often occurs on fingers. It may resemble a rudimentary supernumerary digit and is often misdiagnosed as another common benign condition, such as common wart. It is typically asymptomatic and occurs as a solitary nodule less than 1 cm in diameter. Oftentimes ADFK shares clinical and/or histologic resemblance with other benign and malignant cutaneous conditions so it is crucial that careful examination is undertaken. In this article, we will discuss the clinical presentation, epidemiology, etiology, dermoscopic and histologic findings, management, and differential diagnoses for ADFK, with the hope that this review will facilitate timely diagnosis and management for this distinct condition.
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Affiliation(s)
- Shawn Shih
- University of Central Florida College of Medicine, Orlando, FL, USA
| | - Amor Khachemoune
- Veterans Affairs Medical Center, Brooklyn, NY, USA.,SUNY Downstate, Department of Dermatology, Brooklyn, NY, USA
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Ocampo-Garza J, Di Chiacchio N, Haneke E, Di Chiacchio N, Noriega L. Verrucous epidermal naevus: a misleading diagnosis for 28 years. J Eur Acad Dermatol Venereol 2018; 32:e109-e110. [DOI: 10.1111/jdv.14597] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- J. Ocampo-Garza
- Dermatology Department; University Hospital “Dr. José Eleuterio González”; Universidad Autónoma de Nuevo León; Monterrey México
| | - N.G. Di Chiacchio
- Dermatology Department; Hospital do Servidor Público Municipal de São Paulo; São Paulo Brazil
- Dermatology Department; Faculty of Medicine of ABC; São Paulo Brazil
| | - E. Haneke
- Department of Dermatology; Inselspital; University of Bern; Bern Switzerland
- Dermatology Clinic Dermaticum; Freiburg im Breisgau Germany
- Centro de Dermatología Epidermis; Instituto CUF; Porto Portugal
- Department of Dermatology; Academic Hospital; University of Gent; Gent Belgium
| | - N. Di Chiacchio
- Dermatology Department; Hospital do Servidor Público Municipal de São Paulo; São Paulo Brazil
| | - L.F. Noriega
- Dermatology Department; Hospital do Servidor Público Municipal de São Paulo; São Paulo Brazil
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Göktay F, Kaynak E, Güneş P, Yaşar Ş, Küçükodacı Z, Aytekin S. Relationship between Human Papilloma Virus and Subungual Keratoacanthoma: Two Case Reports and the Outcomes of Surgical Treatment. Skin Appendage Disord 2017; 2:92-96. [PMID: 28232913 DOI: 10.1159/000449064] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2016] [Accepted: 08/10/2016] [Indexed: 11/19/2022] Open
Abstract
Subungual keratoacanthoma (SUKA) is a rare form of keratoacanthoma, with the majority of the lesions appearing as rapidly growing, painful hyperkeratotic masses located under the distal nail plate of the thumb. In some cases, SUKA causes damage to the underlying bone. The first case presented here was treated by surgical excision alone, and human papilloma virus (HPV) type 6 was detected in the tissue samples. The second case was treated by surgical excision plus curettage; however, HPV was not detected, and tumor cells were not found in the curettage material. There was near complete improvement in both the clinical appearance and the distal phalanx destruction, with no recurrence at the final follow-up in either patient (30 and 14 months, respectively). Overall, simple excision alone or in combination with curettage seemed to be sufficient in the treatment of SUKA; however, the etiopathogenetic role of HPV in SUKA remains controversial, as in its classical form.
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Affiliation(s)
- Fatih Göktay
- Department of DermatologyUniversity of Health Sciences, Haydarpaşa Numune Training and Research Hospital, İstanbul, Turkey
| | - Emre Kaynak
- Department of DermatologyUniversity of Health Sciences, Haydarpaşa Numune Training and Research Hospital, İstanbul, Turkey
| | - Pembegül Güneş
- Department of Pathology, University of Health Sciences, Haydarpaşa Numune Training and Research Hospital, İstanbul, Turkey
| | - Şirin Yaşar
- Department of DermatologyUniversity of Health Sciences, Haydarpaşa Numune Training and Research Hospital, İstanbul, Turkey
| | - Zafer Küçükodacı
- Department of Department of Medical Pathology, Gülhane Military Medical Academy, İstanbul, Turkey
| | - Sema Aytekin
- Department of DermatologyUniversity of Health Sciences, Haydarpaşa Numune Training and Research Hospital, İstanbul, Turkey
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9
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Ehara Y, Yoshida Y, Ishizu S, Shiomi T, Yamamoto O. Acquired subungual fibrokeratoma. J Dermatol 2017; 44:e140-e141. [PMID: 28150336 DOI: 10.1111/1346-8138.13745] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Yuko Ehara
- Division of Dermatology, Department of Medicine of Sensory and Motor Organs, Faculty of Medicine, Tottori University, Yonago, Japan
| | - Yuichi Yoshida
- Division of Dermatology, Department of Medicine of Sensory and Motor Organs, Faculty of Medicine, Tottori University, Yonago, Japan
| | - Satomi Ishizu
- Division of Dermatology, Department of Medicine of Sensory and Motor Organs, Faculty of Medicine, Tottori University, Yonago, Japan
| | - Tatsushi Shiomi
- Department of Organ Pathology, Faculty of Medicine, Tottori University, Yonago, Japan
| | - Osamu Yamamoto
- Division of Dermatology, Department of Medicine of Sensory and Motor Organs, Faculty of Medicine, Tottori University, Yonago, Japan
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