Infantile digital fibromatosis , This is a rare condition, manifested by the benign, asymptomatic, nodular proliferation of fibrous tissue occurring almost exclusively on the dorsal and lateral aspects of the fingers or toes Most nodules appear in the first few months of life; one third are congenital, and 75-80% are noted during the first year of life Clinical features Single or multiple, firm, erythematous, dermal nodules with a smooth dome-shaped surface on the dorsolateral aspect of the distal phalanges of the digits There is sparing of the thumbs and the great toes Lesions can grow up to 2 cm in diameter, yet they rarely cause functional impairment or deformity Because of the benign nature of infantile digital fibromatosis, frequent recurrence after surgery, and a tendency towards spontaneous resolution over two to three years, observation is suggested as the best form of management