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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 …
Contributors KR wrote the initial draft and followed up on revisions, approved the final version and is accountable for all aspects of the work. CMY, LY and LJCM contributed by crafting learning points, revising the article, approved the final version and are accountable for all aspects of the work.
Competing interests None declared.
Patient consent Obtained from parent.
Provenance and peer review Not commissioned; internally peer reviewed.
Correction notice This paper has been corrected since it was published Online First. The author names were accidentally transposed in the original version and this has now been rectified.