DOI: https://doi.org/10.36347/sjmcr.2026.v14i03.024

Pages: 424-426

Knuckle pads, or Garrod's nodes, are uncommon benign lesions consisting of fibro-adipose tissue that appear over finger joints, particularly in the hands. Though painless and non-inflammatory, they can resemble early signs of joint diseases, making diagnosis challenging. This report presents a 25-year-old man with slowly evolving plaques over his finger joints. Clinical and dermoscopic evaluations revealing hyperkeratosis and fibrotic features confirmed the diagnosis without the need for biopsy. While treatment with keratolytics was attempted, the response was minimal. Despite occasional links to trauma or genetic fibromatoses, most cases remain idiopathic. Imaging and dermoscopy are helpful tools to distinguish knuckle pads from other articular or systemic conditions.