Garach Gómez

1Department of Pediatrics, University of Granada, Granada, Spain 2Centro de Salud Zaidín Sur, Distrito Sanitario Granada Metropolitano, Granada, Spain 3Department of Pediatrics, Hospital Universitario Virgen de las Nieves, Granada, Spain Objectives: Most children fail to meet international physical activity (PA) recommendations. Can a single pediatric visit help reverse this trend?

A boy aged five years presented with bilateral hard and hyperpigmented masses in the dorsum of both feet of that had formed over several years. The masses were painless and caused no functional limitations (Fig. 1). Figure 1. Bilateral hard and hyperpigmented masses in the dorsal aspect of the foot. The ultrasound examination (Fig. 2) showed hypoechoic thickening of the subcutaneous tissue anterior to the Chopart joint with no increase in Doppler signal. Figure 2. Ultrasound of the ankle.

Niño de cinco años que consulta por tumoraciones bilaterales, duras e hiperpigmentadas, localizadas en el dorso de ambos pies, de años de evolución. No presenta dolor ni limitación funcional (fig. 1). Figura 1. Tumoraciones bilaterales, duras e hiperpigmentadas en el dorso de los pies. La ecografía (fig. 2) muestra un engrosamiento hipoecogénico del tejido celular subcutáneo, anterior a la articulación de Chopart, sin incremento de señal Doppler. Figura 2. Ecografía de tobillo.