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July 1986

Red Nodules in an Infant

Author Affiliations

The University of North Carolina, Chapel Hill

Arch Dermatol. 1986;122(7):825-826. doi:10.1001/archderm.1986.01660190103028

REPORT OF A CASE  A female infant was delivered by cesarean section at 41 weeks' gestation because of failure to induce labor. She was normal until 18 days of age, when her aunt, while bathing the baby, noted numerous "bumps" under the patient's skin. These lesions were shown to her pediatrician, who found no other abnormalities. There was concern about possible malignancy, and so the patient was transferred to North Carolina Memorial Hospital, Chapel Hill, for evaluation.On admission, several 0.5- to 1.0-cm erythematous to violaceous, slightly raised, freely movable, firm nodules were found on the upper back, anterior aspect of the chest, and left axilla (Figs 1 and 2). The lesions were not warmer than the rest of the skin, did not feel cystic, and did not appear to be tender. Results of laboratory evaluations, including cultures, complete blood cell count, and electrolyte level, were negative or normal. Her serum calcium level

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