Acquired Digital Fibrokeratoma in a 6-Year-Old Patient: The Youngest Reported Case

Acquired digital fibrokeratoma (ADF) is a rare, benign tumor most commonly seen in adults aged 30-60, with pediatric cases being exceedingly rare. We report a case of ADF in a 6-year-old male, the youngest documented patient to date, who presented with a persistent 6-mm papule on the right first finger misdiagnosed as a verruca. Histopathological examination confirmed the diagnosis, and the lesion was successfully treated with surgical excision without recurrence. This case expands the demographic understanding of ADF and underscores the importance of including it in the differential diagnosis of atypical skin lesions in pediatric patients.