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Giuseppe Fabrizi, MD; Calogero Pagliarello, MD; Guido Massi, PhD
University of Molise, Campobasso, Italy (Dr Fabrizi); Oasi Institute for Research on Mental Retardation and Brain Aging (IRCCS), Troina, Italy (Dr Pagliarello); and Catholic University Medical School, Rome, Italy (Dr Massi)

Arch Dermatol. 2008;144(2):255-260.

	Since this article does not have an abstract, we have provided the first 142 words of the full text and any section headings.

REPORT OF A CASE

A previously healthy 23-month-old white child presented with 7 firm, nonmobile, and nontender nodules located on the forehead, abdomen, hands, and knees (Figure 1). The lesions arose abruptly within 1 month, and the child's mother denied any trauma to the affected areas. The lesions had been treated by the primary care pediatrician with oral amoxicillin trihydrate, 1 g daily, without resolution. No superficial lymph nodes were palpable. The following laboratory test results were within reference range: complete blood cell count; blood chemistry studies; nuclear antibody; anti-Ro, anti-La, and anti-Sm antibodies; anti–double-stranded DNA antibodies; erythrocyte sedimentation rate; and serum amyloid A protein.

Figure appears in full text version. Figure 1.

A lesion of the knee was excised under local anesthesia and pathologically evaluated (Figure 2 and Figure 3).

Figure appears in full text version. Figure 2.

Figure appears in full text version. Figure 3.

What is your diagnosis?

SECTION EDITOR: 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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