A healthy 8-year-old girl presented with a 4-year history of several nodules on her feet. She had no significant medical problems other than a history of eczema as an infant. She was not taking any medications. There was no family history of similar lesions. The initial lesion was excised 4 years earlier, then recurred, and has since resolved. A general pathologist initially interpreted the pathologic findings as a hypertrophic scar. There has been an increase in the number of lesions since the first one was noticed, but the lesions have since remained unchanged in appearance. The patient reports that pressure from her shoes causes her pain.
Rotunda A, Schappell D, Robinson-Bostom L. Recurrent Nodules on the Feet of a Child. Arch Dermatol. 2002;138(9):1245-1250. doi:10.1001/archderm.138.9.1245