TY - JOUR
T1 - Subungual Keratoacanthoma
T2 - Report of a Case and Review of the Literature
AU - Keeney, Gary L.
AU - Banks, Peter M.
AU - Linscheid, Ronald L.
PY - 1988/7
Y1 - 1988/7
N2 - Subungual keratoacanthoma (SUKA) is an uncommon and clinically distinctive tumor of the nail bed. It can easily be confused with well-differentiated subungual squamous cell carcinoma. Distinguishing features of SUKA include pain, rapid growth, and early underlying bony destruction. Unlike keratoacanthomas arising from sun-exposed skin, SUKAs seldom resolve spontaneously and are more locally destructive. Of 18 cases reported in the literature, five patients have developed recurrent disease, all within five months of the initial surgery. We describe a patient with SUKA initially treated by curettage followed two days later by a conservative amputation that revealed conspicuous residual keratoacanthoma. The deep, burrowing tendency of SUKA and the intimate association with underlying bone may explain the reported tendency for recurrence after curettage.
AB - Subungual keratoacanthoma (SUKA) is an uncommon and clinically distinctive tumor of the nail bed. It can easily be confused with well-differentiated subungual squamous cell carcinoma. Distinguishing features of SUKA include pain, rapid growth, and early underlying bony destruction. Unlike keratoacanthomas arising from sun-exposed skin, SUKAs seldom resolve spontaneously and are more locally destructive. Of 18 cases reported in the literature, five patients have developed recurrent disease, all within five months of the initial surgery. We describe a patient with SUKA initially treated by curettage followed two days later by a conservative amputation that revealed conspicuous residual keratoacanthoma. The deep, burrowing tendency of SUKA and the intimate association with underlying bone may explain the reported tendency for recurrence after curettage.
UR - http://www.scopus.com/inward/record.url?scp=0023802264&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0023802264&partnerID=8YFLogxK
U2 - 10.1001/archderm.1988.01670070062020
DO - 10.1001/archderm.1988.01670070062020
M3 - Article
C2 - 3291779
AN - SCOPUS:0023802264
SN - 0003-987X
VL - 124
SP - 1074
EP - 1076
JO - Archives of Dermatology
JF - Archives of Dermatology
IS - 7
ER -