RT Journal
A1 Kappy M, Kummer M, Tyson R, Caldwell S, Kleman G
T1 PAthological case of the month
JF Archives of Pediatrics & Adolescent Medicine
JO Archives of Pediatrics & Adolescent Medicine
YR 1999
FD April 1
VO 153
IS 4
SP 427
OP 428
DO 
UL http://dx.doi.org/
AB 
THE PATIENT was a 9-month-old boy who had abnormal findings on an initial newborn screen for hypothyroidism, but a second test showed a normal circulating free thyroxine concentration, with serum thyroid-stimulating hormone concentrations that fluctuated between normal and slightly elevated. He was given replacement thyroid hormone to treat his compensated primary hypothyroidism. During the first few months of life, purplish, firm, nodular lesions were noticed on his abdomen and extremities (Figure 1), with the largest on the wrist and the knee (Figure 2). A biopsy specimen of one of the lesions on his abdomen had the microscopic appearance shown in Figure 3.