Open AccessSuperficial Acral Fibromyxoma, Appearing as Retronychia: A Rare Clinical Entity
Author(s) -
Evangelia Kalloniati,
Stella Arampatzi,
Ouzouni Christina,
Despoina Papathemeli,
Elizabeth Lazaridou,
Myrto-Georgia Trakatelli
Publication year - 2020
Publication title -
skin appendage disorders
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.773
H-Index - 13
eISSN - 2296-9195
pISSN - 2296-9160
DOI - 10.1159/000507900
Subject(s) - medicine , histopathology , paronychia , nail (fastener) , histopathological examination , avulsion , physical examination , dermatology , surgery , pathology , materials science , metallurgy
We report a case of a subungual superficial acral fibromyxoma (SAFM) in a 37-year-old male patient who presented with a persistent chronic proximal paronychia of the big toenail of the right leg. Our clinical diagnosis was retronychia, an often misinterpreted condition, which must be suspected in cases of persistent paronychia, especially in the setting of trauma. The nail plate avulsion revealed a subungual tumor, which was surgically excised. Histopathology in combination with immunohistochemistry revealed features suggestive of SAFM. The follow-up examination of the patient showed no recurrence 9 months after the surgery.