An Algorithmic Approach to the Management of Infantile Digital Fibromatosis

Review of Literature and a Case Report

Elizabeth H. Eypper, MD; Johnson C. Lee, MD; Ashley J. Tarasen, MD; Maxene H. Weinberg, BS; Oluwaseun A. Adetayo, MD


ePlasty. 2018;18(e19) 

In This Article

Methods/Case Report

A 9-month-old otherwise healthy male child was referred for evaluation of a spontaneously occurring nodule on the dorsal aspect of the third toe proximal and middle phalanges, noticed 2 months earlier. On examination, the nodule was hard and ill-circumscribed, with significant blanching and thinning of the overlying skin. The nodules were reported to be tender, and the family noted increasing discomfort with shoes. A similar lesion had developed 2 weeks prior to evaluation over the middle phalanx of the same toe. The patient's hands and the rest of the feet were otherwise normal. The patient's medical history was negative for trauma, infection, or signs of excoriation. Family history was otherwise unremarkable, except for a history of Irish and Scottish descent on both parental histories. Radiographs of the lesions demonstrated no bony erosions, osteophytes, or any other radiographic evidence of bony pathology or involvement. Because of the overlying skin compromise secondary to the compressive effect of the nodules, and the discomfort and irritation with shoe fit and friction, the patient's family elected to undergo operative intervention at 11 months of age.