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August 1988

A Solitary Neurofibroma on the Finger

Author Affiliations

Department of Dermatology, Box 1047 The Mount Sinai School of Medicine of the City University of New York 1 Gustave L. Levy Pl New York, NY 10029

Arch Dermatol. 1988;124(8):1185-1186. doi:10.1001/archderm.1988.01670080011006

To the Editor.—  Neurofibromas may present as multiple lesions as in von Recklinghausen's disease or as solitary cutaneous lesions. Clinically, both types appear as smooth, polypoid, soft or firm, flesh-colored lesions that may vary in size, the larger lesions being pedunculated.1 When neurofibromas present as solitary cutaneous lesions they are not associated with cafe au lait spots or a family history of von Recklinghausen's disease.2

Report of a Case.—  A 40-year-old woman noted a lesion growing on her finger over a period of one year. The lesion had increased in size over the last six months following the application of an antiwart medication.On physical examination, the third digit of the left hand presented a 6 × 8-mm dome-shaped, pedunculated, nontender, soft nodule with a violaceous hue (Fig 1). The patient had no cafe au lait spots, axillary freckling, diffuse pigmentation of skin, scoliosis

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