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Miscellanea
Images in paediatrics
Leukaemia cutis of the scalp
  1. Kwan Rui1,
  2. Chan Mei Yoke2,
  3. Low Yee3,
  4. Lam Joyce Ching Mei2
  1. 1Department of Paediatric Medicine, KK Women's & Children's Hospital, Singapore, Singapore
  2. 2Department of Paediatric Subspecialties, Haematology/Oncology Service, KK Women's & Children's Hospital, Singapore, Singapore
  3. 3Department of Paediatric Surgery, KK Women's & Children's Hospital, Singapore, Singapore
  1. Correspondence to Dr Lam Joyce Ching Mei, KK Women's & Children's Hospital, Department of Paediatric Subspecialties, Haematology / Oncology Service, 100 Bukit Timah Road, Singapore; joyce.lam.c.m{at}singhealth.com.sg

https://doi.org/10.1136/archdischild-2017-313284

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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 …

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    Footnotes

    • 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 guardian.

    • Provenance and peer review Not commissioned; internally peer reviewed.