ABSTRACT

A 4-year-old boy presents to the emergency department with a right-sided scalp lesion for the past month. The boy has been scratching at the lesion. On physical exam there is a raised scaly circular scalp lesion with slightly irregular borders and some alopecia. There are also several non-tender mobile occipital nodes, all 0.5 cm or smaller. https://s3-euw1-ap-pe-df-pch-content-public-p.s3.eu-west-1.amazonaws.com/9780429435003/2bb12154-e53e-46cc-a47b-000836900a25/content/ufig165_1.jpg"/>