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Bluish Subcutaneous Nodule in a Child—Quiz Case
Kristy F. Davis, BS;
Jashin J. Wu, MD;
Senait W. Dyson, MD;
Brandie J. Metz, MD
University of California, Irvine
Arch Dermatol. 2008;144(4):547-552.
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REPORT OF A CASE
A 21-month-old healthy boy presented for evaluation of an asymptomatic, right-sided neck mass. The lesion had grown in proportion to his body since it was noticed at age 4 months. Prior workup had included a fine-needle aspiration biopsy, findings from which were nondiagnostic. He also underwent 2 ultrasonographic evaluations of the lesion, one showing a 3 x 3.2 x 1.9-cm solid nodule in the subcutaneous tissue and the other showing multiple hypoechoic small nodules in the subcutaneous fat. His medical history was unremarkable, and findings from systems review were negative.
Physical examination revealed a 4 x 3-cm, firm, bluish plaque on the right side of the neck (Figure 1). (The faint purple mark seen above the lesion is from a surgical marking pen.) An overlying 2-cm patch of dark hair was also . . . [Full Text of this Article]
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Bluish Subcutaneous Nodule in a Child—Diagnosis
Arch Dermatol. 2008;144(4):547-552.
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