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Lisa Esler-Brauer, MD; Ilene Rothman, MD
University at Buffalo School of Medicine and The Women and Children's Hospital of Buffalo, Buffalo, New York

Arch Dermatol. 2007;143(9):1201-1206.

	Since this article does not have an abstract, we have provided the first 137 words of the full text and any section headings.

REPORT OF A CASE

A 10-year-old white boy presented with a 3-day history of painful, red, swollen hands. Physical examination revealed multiple, erythematous, 1- to 3-cm, tender nodules on his palms (Figure 1). A few similar smaller nodules were present on the plantar aspect of the middle of both heels. The patient had an associated low-grade fever but was otherwise healthy and active. He had recently spent a lot of time in ice hockey practice. His primary care physician had initially evaluated him, and the results of rapid streptococcal screening were negative, no murmur was appreciated, and no treatment had been initiated. A 4-mm punch biopsy specimen was obtained from a palmar lesion for microscopic evaluation (Figure 2 and Figure 3).

Figure appears in full text version. Figure 1.

Figure appears in full text version. Figure 2.

Figure appears in full text version. Figure 3.

What is your diagnosis?

SECTION EDITORS: MICHAEL E. MING, MD, MSCE; ASSISTANT SECTION EDITORS: CARRIE ANN R. CUSACK, MD; SENAIT W. DYSON, MD; JACQUELINE M. JUNKINS-HOPKINS, MD; VINCENT LIU, MD; KARLA S. ROSENMAN, MD

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Tender Nodules on the Palms and Soles—Diagnosis
Arch Dermatol. 2007;143(9):1201-1206.
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