“…Another report described an ADFK accompanied by a pyogenic granuloma [28] . In most reported cases, acquired digital fibrokeratoma presents on the fingers [29,15,30,14] and toes, while it occasionally occurs on the lower lip, nose, elbow, pre-patellar area, nail bed, periungal area [13,31] and heel [5,32,33] . Additionally, ADFK does not show spontaneous regression [26] .…”