Fibroqueratoma periungueal adquirido en la edad pediátrica, a propósito de un caso

espanolObjetivo: El fibroqueratoma periungueal adquirido es un tumor fibroepitelial benigno, con escasa incidencia a nivel del pie. Es una tumoracion cubierta de piel hiperpigmentada con hiperqueratosis en su porcion distal, de consistencia firme e indurada, y tamano variable, que oscila entre los 3 y los 15 mm. de diametro. Material y metodos: Presentamos un varon de 6 anos de edad, con una tumoracion de 0,4 x 0,5 cm, dolorosa compatible con fibroqueratoma periungueal adquirido a nivel del hallux. Dada la edad del paciente, hay que realizar diagnostico diferencial con tumor de Koenen. Resultados: Tras la reseccion quirurgica segun tecnica de colgajo en bandera, el estudio histopatologico confirma la sospecha clinica. Conclusiones: El fibroqueratoma periungueal adquirido, es una entidad clinica e histologica bien definida y muy caracteristica, cuyo diagnostico puede realizarse con toda certeza y su tratamiento definitivo se realizara por medio de la escision definitiva de la lesion. EnglishObjective: The acquired periungual fibrokeratoma is a benign fibroepithelial tumor, with little incidence at the level of the foot. It presents as a fleshy mass covered with hyperpigmented skin with hyperkeratosis in its distal portion, firm and indurated consistency, and variable size, ranging from 3 to 15 mm. diameter. Methods: We present a 6-year-old male, who presented at the level of the hallux, a tumor 0.4 x 0.5 cm, painful compatible with fibrokeratoma periungueal acquired. Given the patient's age, a differential diagnosis should be made with Koenen's tumor. Results: After surgical resection according to flag flap technique, the histopathological study confirms the clinical suspicion. Conclusion: Acquired periungueal fibrokeratoma is a well-defined and characteristic clinical and histological entity, whose diagnosis can be made with all certainty and its definitive treatment will be carried out through definitive excision of the lesion.