대한정형외과학회지 (Journal of the Korean Orthopaedic Association)

  • 제56권2호
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  • Pages.168-172
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  • 2021
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  • 1226-2102(pISSN)
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  • 2005-8918(eISSN)
대한정형외과학회 (Korean Orthopaedic Association)
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조갑 주변의 후천성 수지 섬유각화종

Acquired Digital Fibrokeratoma over Nail

  • 권영우 (고려대학교안암병원 정형외과) ;
  • 최인철 (고려대학교안암병원 정형외과) ;
  • 박종웅 (고려대학교안암병원 정형외과)
  • Kwon, Young Woo (Department of Orthopaedic Surgery, Korea University Anam Hospital) ;
  • Choi, In Cheul (Department of Orthopaedic Surgery, Korea University Anam Hospital) ;
  • Park, Jong Woong (Department of Orthopaedic Surgery, Korea University Anam Hospital)
  • 투고 : 2020.02.22
  • 심사 : 2020.04.01
  • 발행 : 2021.04.30
⟨ 이전 논문 다음 논문 ⟩

초록

후천성 수지 섬유각화종(acquired digital fibrokeratoma)은 비교적 드문 피부 양성 종양으로 손가락과 발가락 말단부에 주로 발생한다. 일반적으로 성인에서 단독으로 발생하는 과각화성의 돔 형태(dome-shaped) 종괴로 관찰되며 때로는 잔류 과다지(rudimentary supernumerary digit) 양상이거나 손톱(accessory nail)이 여러 개인 양상, 혹은 사마귀와 같은 보다 일반적인 상태로 오진되는 경우가 있다. 발생기전은 아직 확실하지 않으나 물리적인 외상이 가장 흔한 원인으로 알려져 있다. 저자들은 36세 남자 환자에서 좌측 제2수지의 외상 후 발생한 잔류 과다지 형태의 후천성 수지 섬유각화종을 진단하고 절제 생검술을 시행한 후 조직학적 검사를 통해 확진한 1예를 문헌 고찰과 함께 보고하고자 한다.

Acquired digital fibrokeratoma is very a rare, benign, fibrous, and hyperkeratotic skin tumor that develops most frequently on the finger or toe. The tumor usually occurs in adults as a solitary, dome-shaped lesion. Sometimes, it appears as a rudimentary supernumerary digit and may be misdiagnosed as an accessory nail (double nail) or verruca vulgaris. The pathophysiology of an acquired digital fibrokeratoma is unknown. On the other hand, trauma has often been proposed as a predisposing factor for an acquired type of digital fibrokeratoma. This paper reports a case of trauma-related acquired digital fibrokeratoma presenting as a supernumerary digit and nail in a 36-year-old male. This case is presented with a 0.5 cm×0.4 cm×1.3 cm sized, firm, hyperkeratotic, protruding mass over the left second finger nail.

키워드

참고문헌

  1. Bart RS, Andrade R, Kopf AW, Leider M. Acquired digital fibrokeratomas. Arch Dermatol. 1968;97:120-9. https://doi.org/10.1001/archderm.1968.01610080024004
  2. Kint A, Baran R, De Keyser H. Acquired (digital) fibrokeratoma. J Am Acad Dermatol. 1985;12(5 Pt 1):816-21. https://doi.org/10.1016/S0190-9622(85)70101-6
  3. Baykal C, Buyukbabani N, Yazganoglu KD, Saglik E. Acquired digital fibrokeratoma. Cutis. 2007;79:129-32.
  4. Saito S, Ishikawa K. Acquired periungual fibrokeratoma with accessory germinal matrix. J Hand Surg Br. 2002;27:549-55. https://doi.org/10.1054/jhsb.2002.0837
  5. Ali M, Mbah CA, Alwadiya A, Nur MM, Sunderamoorthy D. Giant fibrokeratoma, a rare soft tissue tumor presenting like an accessory digit, a case report and review of literature. Int J Surg Case Rep. 2015;10:187-90. https://doi.org/10.1016/j.ijscr.2015.03.041
  6. Kim JM, Cho HH, Kim WJ, et al. Clinical characteristics of acral fibrokeratoma. Korean J Dermatol. 2014;52:535-9.
  7. Carlson RM, Lloyd KM, Campbell TE. Acquired periungual fibrokeratoma: a case report. Cutis. 2007;80:137-40.
  8. Cahn RL. Acquired periungual fibrokeratoma. A rare benign tumor previously described as the garlic-clove fibroma. Arch Dermatol. 1977;113:1564-8. https://doi.org/10.1001/archderm.1977.01640110084014
  9. Shelley WB, Phillips E. Recurring accessory "fingernail": periungual fibrokeratoma. Cutis. 1985;35:451-4.