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Acquired periungual fibrokeratoma is an uncommon benign fibrous tumour occurring in the periungual area, predominantly the proximal nail fold. We describe a case of acquired periungual fibrokeratoma with an unusual presentation of mixed features including dome‐shaped and branching type in order to facilitate the recognition of this variant.

An unusual presentation of acquired periungual fibrokeratoma: A mixed form of dome‐shaped and branching type