Ann Dermatol.  2011 Feb;23(1):92-94. 10.5021/ad.2011.23.1.92.

Precalcaneal Congenital Fibrolipomatous Hamartoma

• Yang JH
• Park OJ
• Kim JE
• Won CH
• Chang SE
• Lee MW
• Choi JH
• Moon KC

• KMID: 2171962
• DOI: http://doi.org/10.5021/ad.2011.23.1.92

Abstract

Precalcaneal congenital fibrolipomatous hamartomas (PCFHs) are characterized clinically by the presence of unilateral or bilateral, asymptomatic nodules in the medial precalcaneal plantar region of the heel. They are skin colored and usually painless nodules. In most patients, the lesions appear within the first few months of life, but they may also be present at birth. Generally PCFHs are benign, but they can grow in proportion to the growth of the infants. Here, we report the case of a 4-month-old boy with a solitary, localized skin-colored nodule on the precalcaneal plantar region of his right heel, diagnosed as a PCFH.

Keyword

Precalcaneal congenital fibrolipomatous hamartoma

MeSH Terms

Hamartoma
Heel
Humans
Infant
Parturition
Skin

Figure

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  Fig. 1 Photograph of a solitary, 1 cm, soft, skin-colored nodule on the right medial plantar heel surface in a 4-month-old boy.

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  Fig. 2 Ultrasound image showing a 0.7×0.6 cm, ill-defined, homogeneous, slightly hyperechoic lesion near the subcutaneous layer.

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  Fig. 3 Light microscope finding showing multiple lobulated mature adipose tissue protruding into the dermis and separated by collagenous fibrous sheaths (H&E stain, ×40).

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