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Although the recognition of the vaccination granuloma relies on the clinical examination, misdiagnosis is frequent, leading to distressful procedures or prolonged antibiotic administration. In all our cases, sonography revealed a teardrop\u2010shaped echogenic central structure, suggesting the deposition of aluminum crystals along the route of administration with consequent subcutaneous degenerative changes, and a surrounding hypoechoic cap, which reflects the changeable inflammatory reaction and the granuloma formation.<\/jats:p>","DOI":"10.1111\/pde.13953","type":"journal-article","created":{"date-parts":[[2019,9,2]],"date-time":"2019-09-02T07:30:48Z","timestamp":1567409448000},"page":"1012-1016","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Sonographic features of vaccination granulomas in children with delayed\u2010type hypersensitivity to aluminum"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3026-2434","authenticated-orcid":false,"given":"Andrea","family":"Sechi","sequence":"first","affiliation":[{"name":"Division of Dermatology, Department of 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