Giant acquired acral fibrokeratoma: A case report

  • Hend M. Al-Atif | hmsalatif@yahoo.com Department of Internal Medicine, College of Medicine, King Khalid University, Abha, Saudi Arabia.

Abstract

Acquired acral fibrokeratoma (AAF) is a rare benign fibrous tumor. Its size is usually small (i.e., <0.5 cm). However, few cases with giant lesions (i.e., >1 cm) have been reported. A 17-year-old Saudi male presented to the Dermatology Outpatient Clinic of Aseer Central Hospital, Aseer Region, Saudi Arabia, with a painless rounded skin-colored exophytic nodule arising from the dorsal surface of the right middle toe, 1.7 cm in diameter. The tumor was surgically excised. Histopathology examination revealed a giant polyploid lesion, composed of massive hyperkeratosis, acanthosis, a core of thick collagen bundles and vertically oriented small dermal blood vessels. The diagnosis was giant AAF. There was no evidence of recurrence after surgical excision. AAF is a rare benign skin tumor which should be differentiated from other similar skin lesions. Surgical excision is the first line for treatment.

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Published
2019-10-28
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Issue
Section
Case Reports
Keywords:
Acquired acral fibrokeratoma, tumor, skin lesion, histopathology, Saudi Arabia
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How to Cite
Al-Atif, H. M. (2019). Giant acquired acral fibrokeratoma: A case report. Dermatology Reports, 11(2). https://doi.org/10.4081/dr.2019.8215