Indurated Lesion on Child's Metacarpophalangeal Joint
A 6-year-old girl is brought for evaluation of an asymptomatic indurated erythematous lesion that erupted on the metacarpophalangeal joint of one hand 2 weeks ago. The patient has no history of trauma or exposure and is otherwise healthy.
THE CASE: A 6-year-old girl is brought for evaluation of an asymptomatic indurated erythematous lesion that erupted on the metacarpophalangeal joint of one hand 2 weeks ago. The patient has no history of trauma or exposure and is otherwise healthy.
(Answer and discussion on next page.)
Granuloma annulare is the correct answer.
DISCUSSION: This patient has granuloma annulare, a self-limited eruption whose cause is unknown. A low-potency topical corticosteroid was prescribed, and the lesion gradually improved over the course of several weeks.
Insect bites and contact dermatitis are pruritic. Eczema is pruritic and scaly. This lesion has none of the features that characterize warts, such as a pebbling texture and, in some cases, punctate hemorrhages that suggest thrombosed capillaries.
Online Poll
|
Online Survey
Case and images courtesy of David L. Kaplan, MD, University of Missouri Kansas City, University of Kansas.
Recognize & Refer: Hemangiomas in pediatrics
July 17th 2019Contemporary Pediatrics sits down exclusively with Sheila Fallon Friedlander, MD, a professor dermatology and pediatrics, to discuss the one key condition for which she believes community pediatricians should be especially aware-hemangiomas.
Full case: Infant presents with an asymptomatic pearl-like nodule on the heel
Infant is closely monitored at subsequent well visits and rechecked after 3 months, showed full resolution of the skin lesion over the heel area.
