Rationale:
Nail bed solitary neurofibroma is an extremely rare tumor, with only 9 cases recorded in the literature so far.
Patient concern:
We present the case of a 42-year-old female patient, with a history of a slowly growing tumor in the nail bed of the left index and no clinical features of type I neurofibromatosis.
Diagnosis:
Nail bed solitary neurofibroma.
Intervention:
The tumor was surgically removed and the pathology examination established the diagnosis of neurofibroma.
Outcomes:
The postoperative outcome was good, with no recurrence 12 months after surgery.
Lessons:
We present the rarity of this type of tumor localized in the nail bed, taking into consideration the only 9 cases recorded in the literature. Nail bed solitary neurofibroma should be also included in the differential diagnosis of a nail bed tumor.