title: [Painful nodular and plantar erythema in children].
abstract: BACKGROUND
  According to our knowledge, only twenty-three similar cases have been reported in the literature. Possible hypotheses for localised painful red nodules on the feet in children include erythema nodosum, neutrophilic eccrine hidradenitis, traumatic plantar urticaria, vasculitis and cold panniculitis.
  
  
  METHODS
  We report a typical case of painful erythematous plantar nodules of the child. A 13-yr-old boy was first seen by a paediatrician for intermittent fever. The fever was associated with red, painful nodules on the soles. He was unable to walk. Routine blood chemistry parameters were within normal limits. Histopathologic examination of lesional skin revealed an image of septal and lobular panniculitis with vasculitis. Direct immunofluorescence study was not contributive. With proper antibiotic therapy, pain resolved within one week while fever and nodules cleared within two weeks.
  
  
  CONCLUSIONS
  Briefly, this observation concerns a child disease occurring as painful erythematous plantar nodules. The lesions are spontaneously resolutive and the children are in good health. Our observation should constitute a supplementary group with the same classical symptoms of nodular plantar painful erythema of the child but moreover accompanied by a septal and lobular panniculitis with vasculitis at the histological examination. Further studies are necessary to verify these hypotheses.
authors.affiliation: Unité de dermato-allergologie et dermato-immunologie, UCL Bruxelles, Belgique.
authors.forename: E
authors.initials: E
authors.lastname: Sandraps
authors.forename: S
authors.initials: S
authors.lastname: Blomme
authors.forename: A
authors.initials: A
authors.lastname: Demeester
authors.forename: J
authors.initials: J
authors.lastname: Decroix
authors.forename: L
authors.initials: L
authors.lastname: Marot
authors.forename: J M
authors.initials: JM
authors.lastname: Lachapelle
mesh_terms: D000293:Adolescent; D004893:Erythema Nodosum / Q000150:complications / Q000473:pathology*; D005533:Foot Dermatoses / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008297:Male; D010146:Pain / Q000209:etiology; D012008:Recurrence
vernacular_title: Erythème nodulaire plantaire douloureux de l'enfant.