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Sep 2012

Soft Subcutaneous Plantar Masses—Quiz Case

Author Affiliations
 

SECTION EDITOR: MARY S. STONE, MD; ASSISTANT SECTION EDITORS: SOON BAHRAMI, MD; CARRIE ANN R. CUSACK, MD; SENAIT W. DYSON, MD; MOLLY A. HINSHAW, MD; ARNI K. KRISTJANSSON, MD

Arch Dermatol. 2012;148(9):1073-1078. doi:10.1001/archderm.148.9.1073-b

A 3-year-old boy presented with asymptomatic growths on both feet that his parents had noticed 1 year prior. The lesion on the left foot was larger than the one on the right, and both lesions had been slowly growing. The patient did not exhibit any difficulty walking. He was otherwise healthy and was born at full term by normal vaginal delivery without any complications. There was no family history of similar findings.

Physical examination revealed ill-defined, skin-colored, soft, subcutaneous masses located on the anteromedial plantar aspect of both heels (Figure 1). The mass on the left heel measured approximately 3 cm in diameter. There was no tenderness to palpation. A 6-mm punch biopsy specimen was obtained from the mass on the plantar aspect of the left foot (Figure 2 and Figure 3).

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