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A healthy, 4-month-old female infant presented with two reddish, small, painless nodules on the distal phalanx of the toes, which progressively increased in size. She was otherwise healthy. There was no history of trauma or inflammation. On physical examination, a firm, erythematous papule 1 cm in diameter was found on the distal phalanx of the fifth and third toes of the left and right foot respectively …
Contributors The paper was written by GP: pediatrician, IM: dermatologist who performed the skin biopsy, RS: pathologist who analysed the histology, MC: pediatric dermatologist.
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.