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The Journal of Bone and Joint Surgery 78:1904-6 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

Leiomyoma of the Hand in a Child Who Has the Human Immunodeficiency Virus. A Case Report*

S. STEVEN YANG, M.D., M.P.H.{dagger}, RILEY J. WILLIAMS, M.D.{ddagger}, BRIAN J. BEAR, M.D.{ddagger} and RICHARD R. MCCORMACK, M.D.{dagger}, NEW YORK N.Y.

Investigation performed at The New York Hospital-Cornell Medical Center, New York City


   Introduction
 
Leiomyomas, which are benign tumors of smooth-muscle origin, rarely occur in the upper extremity6,16 and are very uncommon in children15. We describe the case of a painful leiomyoma of the hand in a child who was infected with the human immunodeficiency virus. Although the association of the human immunodeficiency virus with malignant neoplasms such as B-cell lymphomas and Kaposi sarcoma has been well documented11, a non-random association between smooth-muscle tumors and infection with the virus has been identified only recently1,3,10,17,18. Leiomyoma and leiomyosarcoma involving the lung and the gastrointestinal tract have been found in children infected with the human immunodeficiency virus1,3,10,17,18; to our knowledge, there have been no reports of a leiomyoma involving the upper extremity of such a child.


   Case Report
 
A ten-year-old boy, who was known to be infected with the human immunodeficiency virus, was seen because of a painful mass in the right (dominant) hand. . . . [Full Text of this Article]


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