Infantile digital fibromatosis (IDF) presents as a nodule occurring almost exclusively on the digits of infants and young children(1) and although benign, has a propensity for local recurrence following excision(1) . In cases where surgical resection was not undertaken, lesions have regressed spontaneously prompting some to advocate conservative management(2) . An accurate diagnosis of IDF is challenging due to the low frequency of occurrence however it is important as the lesion can cause joint deformity leading to functional impairment(3) . This article is protected by copyright. All rights reserved.