Toenail Clues to a Hidden Diagnosis

A 71-year-old man with Chronic kidney disease presents with facial papules and unusual toenail lesions. Discover the underlying systemic diagnosis.

Periungual fibroma


A 71-year-old man presented to the nephrology department for the evaluation of chronic kidney disease. He had erythematous papules on his face and these lesions on his toenails. What is the diagnosis?

What is the most likely diagnosis?

Squamous-cell carcinoma
Verrucae vulgaris
Cutaneous horn
Pyogenic granuloma
Periungual fibroma

Dermatology, Koenen Tumor, Periungual fibroma, Tuberous Sclerosis, Ungual Fibroma

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