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Previous Volume 354:2697-2704 June 22, 2006 Number 25 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

Dr. Richard Chou (Rheumatology): A 22-month-old boy was seen in the pediatric rheumatology clinic because of enlarging subcutaneous nodules on the head, legs, and right hand. The patient had been well until six weeks earlier, when his mother noticed a firm, nontender bump on his medial right shin. Two weeks later, she noticed three new bumps in a line on the left pretibial area. She took the child to his pediatrician's office. The mother could recall no specific trauma to his legs, and the bumps had not been red or tender. Radiographs of both lower legs showed a soft-tissue density . . . [Full Text of this Article]

Differential Diagnosis

Erythema Nodosum

Rheumatoid Nodules

Malignant Tumors

Benign Tumors and Cysts

Granuloma Annulare

Dr. J. Patrick Whelan's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Source Information

From the Pediatric Rheumatology Service (J.P.W.) and the Department of Pathology (A.Z.), Massachusetts General Hospital; and the Departments of Pediatrics (J.P.W.) and Pathology (A.Z.), Harvard Medical School.

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