A wolf in sheep's clothing – a chronically progressive toe tumor

A 55-year-old Lebanese man, residing in Berlin for over 40 years, with no prior comorbidities or medications, presented with a 2-year history of a slowly growing tumor on the fifth toe of his right foot.The lesion initially appeared as a yellowish discoloration on the lateral nail fold.The patient could not recall any trauma.He had spent several months in Lebanon prior to onset, during which he walked barefoot indoors and on the beach, and hiked wearing sandals.He had received cryotherapy without improvement.The lesion progressed with increasing pain and recurrent infections.Clinical examination revealed a 30 x 25 mm exophytic, verrucous, yellowish tumor with hemorrhagic ulcerations, covering the entire dorsal and mediolateral aspects of the fifth right toe and resulting in complete destruction of the