Observation |

Multibranched Acquired Periungual Fibrokeratoma

Tetsuya Moriue, MD, PhD1; Kozo Yoneda, MD, PhD1; Junko Moriue, MD1; Kozo Nakai, MD, PhD1; Yasuo Kubota, MD, PhD1
[+] Author Affiliations
1Department of Dermatology, Faculty of Medicine, Kagawa University, Kagawa, Japan
JAMA Dermatol. 2014;150(4):456-457. doi:10.1001/jamadermatol.2013.6631.
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We have encountered a case of multibranched acquired periungual fibrokeratoma (APF).

Article InformationCorresponding Author: Tetsuya Moriue, MD, PhD, Department of Dermatology, Faculty of Medicine, Kagawa University, 1750-1 Ikenobe, Miki-cho, Kita-gun, Kagawa 761-0793, Japan (moririn@med.kagawa-u.ac.jp).

Published Online: February 19, 2014. doi:10.1001/jamadermatol.2013.6631.

Conflict of Interest Disclosures: None reported.

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Figure 1.
Clinical Presentation of Acquired Periungual Fibrokeratoma

A, At presentation, 2 branching asymptomatic, small, firm, flesh-colored rodlike nodules arise beneath the proximal nail fold. B, At total excision, a third 2-mm small nodule, which branched off the other nodules, was found under the nail fold (arrowhead).

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Figure 2.
Histologic Findings of Acquired Periungual Fibrokeratoma

Hematoxylin-eosin stain reveals an epidermis that lacked rete ridges and showed hyperkeratosis. The collagen fibers were thick in the dermis. A, Original magnification ×1. B, Original magnification ×40.

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