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May 1992

Cutaneous Tumor in a Child

Author Affiliations

Duke University Medical Center, Durham, NC, and The Mayo Clinic, Rochester, Minn

Arch Dermatol. 1992;128(5):683-684. doi:10.1001/archderm.1992.01680150113018

REPORT OF A CASE  A 12-year-old boy was referred for evaluation of a tumor on his left arm and multiple scaling patches that had been present for 2 months. He also complained of pain in his right hip for several weeks. He denied local or generalized pruritus, recent weight loss, fever, chills, or night sweats. The tumor had grown progressively despite treatment with topical and oral antifungals, topical and oral steroids, and oral antibacterial agents.The physical examination revealed a well-developed, healthy-appearing white child. The findings from his skin examination were notable for an erythematous tumor (diameter, 5 cm) located over the left bicep (Fig 1). The tumor was indurated and nontender and was freely mobile over muscle. It contained several crusted areas at the location of previous biopsy sites. Four 1- to 2-cm erythematous scaling macules were scattered over his trunk. One 2-cm area of scarring alopecia was noted on the vertex of his scalp. Adenopathy or hepatosplenomegaly was absent. Findings from the musculoskeletal examination demonstrated a full range of motion of all joints without pain on movement.

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