Calcaneal Conundrums

An 11-month-old female was referred for evaluation of “knots on feet” since birth. The child had no pain, yet her mother was concerned that the lesions might affect her daughter’s ability to walk. Past medical history was non-contributory, although a cousin had similar nodules on both heels. The result of physical examination was unremarkable except for soft, rubbery, 1-cm nodules on the anterior-medial aspects of both heels. The nodules were skin-colored and non-tender. The child cruised without difficulty and experienced no discomfort when standing.