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Jeffrey M. Williams, MD; Amy B. Norton, MD; Rodney F. Kovach, MD
West Virginia University School of Medicine, Morgantown

Arch Dermatol. 2007;143(8):1067-1072.

	Since this article does not have an abstract, we have provided the first 149 words of the full text and any section headings.

A 2-year-old girl was referred to the dermatology clinic by her pediatrician because of unsuccessful treatment of presumed seborrheic dermatitis. She presented with a 4-month history of an erythematous, pruritic, "scaly" rash on her scalp and a red-brown nodule behind her right ear. Her medical history was remarkable only for urticaria pigmentosa, which was stabilized on a regimen of loratadine, and her family history was noteworthy for large cell lymphoma in her half-brother. A review of systems disclosed no other symptoms or abnormalities.

Physical examination revealed discrete petechial lesions scattered diffusely throughout the scalp (Figure 1), red-brown papules scattered over the trunk, and a right postauricular nodule. A 4-mm punch biopsy specimen was obtained from a scalp lesion (Figure 2 and Figure 3).

Figure appears in full text version. Figure 1.

Figure appears in full text version. Figure 2.

Figure appears in full text version. Figure 3.

What is your diagnosis?

SECTION EDITOR: MICHAEL E. MING, MD, MSCE; ASSISTANT SECTION EDITORS: CARRIE ANN R. CUSACK, MD; SENAIT W. DYSON, MD; JACQUELINE M. JUNKINS-HOPKINS, MD; VINCENT LIU, MD; KARLA S. ROSENMAN, MD

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Petechial and Red-Brown Papular Lesions in a 2-Year-Old Girl—Diagnosis
Arch Dermatol. 2007;143(8):1067-1072.
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