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Subcutaneous Nodule and Diffuse Lymphadenopathy in a 6-Month-Old Boy From Africa—Quiz Case
Peter C. Friedman, MD, PhD;
Sameera Husain, MD;
David N. Silvers, MD;
Maria C. Garzon, MD
Columbia University, New York, New York
Arch Dermatol. 2007;143(10):1323-1328.
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REPORT OF A CASE
A 6-month-old boy from Guinea presented with a 4-month history of a left shoulder nodule at the site of a previous vaccination of unknown type. The child also had recurrent fevers and upper respiratory tract symptoms. On examination, the patient had a 3.5 x 2-cm, rubbery, freely moveable subcutaneous nodule on the left shoulder, which extended into a 6-mm, round, red papule (Figure 1). A 1-cm rubbery subcutaneous nodule was present on the right back. He also had lymphadenopathy in the posterior auricular, cervical, inguinal, and axillary regions. The liver edge was palpable 1 cm below the costal margin. Biopsy specimens from the left shoulder papule (Figure 2 and Figure 3) and left axillary lymph node were obtained. A chest radiogram showed no abnormalities. The child's alkaline phosphatase level was . . . [Full Text of this Article]
RELATED ARTICLE
Subcutaneous Nodule and Diffuse Lymphadenopathy in a 6-Month-Old Boy From Africa—Diagnosis
Arch Dermatol. 2007;143(10):1323-1328.
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