A term male infant weighing 3.6 kg is born to a 33-year-old gravida 2, para 1 white mother by normal vaginal delivery at 41 1/7 weeks. The prenatal and delivery course was unremarkable. Physical examination at birth shows a small nodule on the plantar aspect of the right foot measuring 1 × 1 × 0.6 cm (Fig 1). The nodule is reddish-brownish in color and firm in consistency, with mild crusting. Also notable are some areas of dry blood over the nodule. On further examination, a pink vascular patch measuring 8 × 4 mm is noted on the right anterior chest. The remainder of the physical examination findings are unremarkable. Complete blood cell count shows a white blood cell count of 12,100/μL (12.1 × 109/L), hemoglobin of 19.1 g/dL (191 g/L), hematocrit of 58.8% (0.58), and platelet count of 306 × 103/μL (306 ×...
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December 2016
Index of Suspicion in the Nursery|
December 01 2016
Case 2: Solitary Foot Nodule in a Newborn
Gunjan Dokania, MD;
Gunjan Dokania, MD
*John H. Stroger Jr. Hospital of Cook County, Chicago, IL.
†Hope Clinic, Houston, TX.
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Hitesh Agrawal, MD;
Hitesh Agrawal, MD
*John H. Stroger Jr. Hospital of Cook County, Chicago, IL.
‡Texas Children’s Hospital, Baylor College of Medicine, Houston, TX.
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Waldemar Niklinski, MD;
Waldemar Niklinski, MD
*John H. Stroger Jr. Hospital of Cook County, Chicago, IL.
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Suma Pyati, MD;
Suma Pyati, MD
*John H. Stroger Jr. Hospital of Cook County, Chicago, IL.
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Lisa Giordano, MD
Lisa Giordano, MD
*John H. Stroger Jr. Hospital of Cook County, Chicago, IL.
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AUTHOR DISCLOSURE
Drs Dokania, Agrawal, Pyati, and Giordano have disclosed no financial relationships relevant to this article. Dr. Niklinski has disclosed that a family member is co-owner of a clinic. This commentary does contain a discussion of an unapproved/investigative use of a commercial product/device.
Neoreviews (2016) 17 (12): e733–e735.
Citation
Gunjan Dokania, Hitesh Agrawal, Waldemar Niklinski, Suma Pyati, Lisa Giordano; Case 2: Solitary Foot Nodule in a Newborn. Neoreviews December 2016; 17 (12): e733–e735. https://doi.org/10.1542/neo.17-12-e733
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