Local subungual excision and graft use in patients with incontinentia pigmenti: A case report and review of the literature

Subungual keratoacanthoma is a rare benign neoplasm that is typically treated with curettage and excision at the initial stages with terminalisation as the definitive treatment. Given the highly positive outcome in this case with minimal sacrifice to the dexterity of the patient and preservation of digit length, we feel that local subungual excision and skin grafting should be strongly considered as an alternative to amputation in moderate to severe cases of the condition.