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January 2009

Subcutaneous Nodules in an Infant—Quiz case

Author Affiliations

Copyright 2009 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2009

Arch Dermatol. 2009;145(1):77-82. doi:10.1001/archdermatol.2008.559-a

A 4.5-month-old white infant presented with 15 to 20 subcutaneous, slowly enlarging, blue-black nodules (0.5-1.0 cm in greatest dimension) scattered about the extremities and trunk (Figure 1) that had developed over 2 months. An additional 0.5-cm nodule was present on the right lower eyelid. The nodules blanched and became erythematous when stroked. The patient was born of an uncomplicated spontaneous vaginal delivery at term and was developmentally intact and otherwise healthy; the remainder of the physical examination findings were normal.