A young teenage lad presented with "lumps" on all digits that have been present for some time and are increasing in size. These are becoming increasingly painful. The 1st toes have the largest lumps, are the sorest and all lumps are in the middle of the fat pads on the plantar aspect of the digits.
The lumps/nodules are within the dermis and are soft to palpate. I have not seen anything like this in 30 + years
so I would appreciate some help. Thanks
This young man has downs syndrome and hypothyroidism apart from this his general health appears good.
His GP referred him with results from an ultrasound. The results were unremarkable with no diagnosis.
I have spoken to my local dermatologist who was unable to shed any light on this case.
I am trying to add some photos but as this is the first time in my many posts that I have tried to do this and I am not having much luck.