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April 1, 2008

Bluish Subcutaneous Nodule in a Child—Quiz Case

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Copyright 2008 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2008

Arch Dermatol. 2008;144(4):547-552. doi:10.1001/archderm.144.4.547-d

A 21-month-old healthy boy presented for evaluation of an asymptomatic, right-sided neck mass. The lesion had grown in proportion to his body since it was noticed at age 4 months. Prior workup had included a fine-needle aspiration biopsy, findings from which were nondiagnostic. He also underwent 2 ultrasonographic evaluations of the lesion, one showing a 3 × 3.2 × 1.9-cm solid nodule in the subcutaneous tissue and the other showing multiple hypoechoic small nodules in the subcutaneous fat. His medical history was unremarkable, and findings from systems review were negative.

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