Hidradenite plantar.

Tender, plantar nodules occurring in pediatric patients can be associated to different clinical entities, despite similar morphological features, therefore dermatopathology is the best technique for the definitive diagnosis. We describe the case for a 12-year-old patient with tender, red nodules on...

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Main Authors: M M Brites, O Tellechea, A P Baptista
Format: Article
Language:English
Published: Ordem dos Médicos 2001-06-01
Series:Acta Médica Portuguesa
Online Access:https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1841
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author M M Brites
O Tellechea
A P Baptista
author_facet M M Brites
O Tellechea
A P Baptista
author_sort M M Brites
collection DOAJ
description Tender, plantar nodules occurring in pediatric patients can be associated to different clinical entities, despite similar morphological features, therefore dermatopathology is the best technique for the definitive diagnosis. We describe the case for a 12-year-old patient with tender, red nodules on the left sole 3 days in duration, and with moderate functional disability. The onset of the lesions was preceded by low fever, and occurred 6 days after hepatitis B vaccination (Engerix B). The clinical diagnoses were juvenile plantar erythema nodosum, insect bites, pressure urticaria and plantar hidradenitis; Laboratory and radiographic studies, as well as microscopic examination of a skin biopsy specimen, were performed. The lesions resolved spontaneously in about 10 days, without recurrence after a year. A skin biopsy specimen revealed dense neutrophilic infiltrate surrounding and involving eccrine glans with abscess formation at the dermal-hypodermal junction. The diagnosis of idiopathic plantar hidradenitis was made. We discuss this entity, recently described by Stahr et al, and other erythematous plantar nodules in the pediatric age.
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spelling doaj.art-08731051847947818b85b2f9aabd55c62022-12-22T03:30:37ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07582001-06-0114310.20344/amp.1841Hidradenite plantar.M M Brites0O TellecheaA P BaptistaServiço de Dermatologia, Hospitais da Universidade de Coimbra, Coimbra.Tender, plantar nodules occurring in pediatric patients can be associated to different clinical entities, despite similar morphological features, therefore dermatopathology is the best technique for the definitive diagnosis. We describe the case for a 12-year-old patient with tender, red nodules on the left sole 3 days in duration, and with moderate functional disability. The onset of the lesions was preceded by low fever, and occurred 6 days after hepatitis B vaccination (Engerix B). The clinical diagnoses were juvenile plantar erythema nodosum, insect bites, pressure urticaria and plantar hidradenitis; Laboratory and radiographic studies, as well as microscopic examination of a skin biopsy specimen, were performed. The lesions resolved spontaneously in about 10 days, without recurrence after a year. A skin biopsy specimen revealed dense neutrophilic infiltrate surrounding and involving eccrine glans with abscess formation at the dermal-hypodermal junction. The diagnosis of idiopathic plantar hidradenitis was made. We discuss this entity, recently described by Stahr et al, and other erythematous plantar nodules in the pediatric age.https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1841
spellingShingle M M Brites
O Tellechea
A P Baptista
Hidradenite plantar.
Acta Médica Portuguesa
title Hidradenite plantar.
title_full Hidradenite plantar.
title_fullStr Hidradenite plantar.
title_full_unstemmed Hidradenite plantar.
title_short Hidradenite plantar.
title_sort hidradenite plantar
url https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1841
work_keys_str_mv AT mmbrites hidradeniteplantar
AT otellechea hidradeniteplantar
AT apbaptista hidradeniteplantar