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Precalcaneal congenital fibrolipomatous hamartoma
Other Resources UpToDate PubMed

Precalcaneal congenital fibrolipomatous hamartoma

Contributors: Callyn Iwuala BA, Susan Burgin MD
Other Resources UpToDate PubMed

Synopsis

Precalcaneal congenital fibrolipomatous hamartoma (PCFH) is a rarely reported, benign hamartomatous condition that presents at birth or up to a few months after birth. Other names that have been used to describe PCFH include pedal papules in the newborn, infantile pedal papules, congenital adipose plantar nodules, and anteromedial plantar nodules of the heel in childhood.

PCFH presents as a soft, asymptomatic, flesh-colored nodule on the medial plantar surface of the heel. Nodules are typically seen bilaterally, although unilateral cases have been reported. They increase slowly in size paralleling the growth of the affected individual and may regress completely within 2 or 3 years. Accompanying functional impairment is very rare.

The term "fibrolipomatous hamartoma" encompasses cases of PCFH and other similar hamartomas that occur in other anatomic locations, including the retrocalcaneal, mandibular, and nasal area. The latter presentations are reported in older pediatric patients, up to age 16 years, and these cases are usually unilateral.

PCFH is typically an isolated finding. A single case has been reported in a patient with Gardner syndrome and another in a patient with tuberous sclerosis.

Codes

ICD10CM:
Q85.9 – Phakomatosis, unspecified

SNOMEDCT:
399960008 – Congenital hamartoma

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Last Reviewed:07/20/2021
Last Updated:06/22/2022
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Precalcaneal congenital fibrolipomatous hamartoma
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