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Images in paediatrics
Leukaemia cutis of the scalp
  1. Rui Kwan1,
  2. Mei Yoke Chan2,
  3. Yee Low3,
  4. Joyce Ching Mei Lam2
  1. 1 Department of Paediatric Medicine, KK Women’s & Children’s Hospital, Singapore, Singapore
  2. 2 Department of Paediatric Subspecialties, Haematology/Oncology Service, KK Women’s & Children’s Hospital, Singapore, Singapore
  3. 3 Department of Paediatric Surgery, KK Women’s & Children’s Hospital, Singapore, Singapore
  1. Correspondence to Dr Joyce Ching Mei Lam, KK Women’s & Children’s Hospital, Department of Paediatric Subspecialties, Haematology / Oncology Service, 100 Bukit Timah Road, Singapore; joyce.lam.c.m{at}

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A 6-year-old girl presented with a scalp nodule enlarging from 1 cm to 6 cm over 3 months, within which an ulcer developed over 3 days. Initial impression was an infected cyst requiring wound debridement. Examination under anaesthesia revealed features not in keeping with an infection (figure 1). The cyst had firm to hard consistency. There was a further finding of a 4 cm splenomegaly without hepatomegaly. No pus was expressed after overlying slough …

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