Scalp Nodules and Facial Droop in an Infant
| Autor: | Christopher E. Gaw, Susan R. Rheingold, Jaclyn Tencer, Richard J. Scarfone, Anjuli S. Gans, Leslie Castelo-Soccio, Christina S. Turn |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Skin Neoplasms Lesion Leukemic Infiltration Precursor B-Cell Lymphoblastic Leukemia-Lymphoma Biopsy medicine Bell Palsy Humans Gene Rearrangement Scalp medicine.diagnostic_test business.industry Facial weakness Infant Nodule (medicine) Histone-Lysine N-Methyltransferase medicine.disease Facial paralysis Facial Nerve medicine.anatomical_structure Head and Neck Neoplasms Pediatrics Perinatology and Child Health Skin biopsy Forehead Female Radiology medicine.symptom business Myeloid-Lymphoid Leukemia Protein |
| Zdroj: | Pediatrics. 148(5) |
| ISSN: | 1098-4275 |
| Popis: | A previously healthy, term, 5-week-old girl initially presented to her primary care physician with a solitary, enlarging scalp nodule. The infant was otherwise well without additional signs or symptoms of illness. Over the next several weeks, the nodule continued to grow, and additional lesions appeared on her scalp. An ultrasound of the primary nodule revealed a hypoechoic structure favored to represent a serosanguinous fluid collection. After evaluation by general surgery and dermatology, she underwent a scalp biopsy of the largest lesion. While biopsy specimen results were pending, her parents noted that she was developing increased irritability, difficulty closing her right eye, and facial weakness. She was referred to the emergency department where a right-sided facial droop involving the brow and forehead was noted. The skin biopsy specimen results, along with subsequent laboratory studies and imaging, led to the final diagnosis. |
| Databáze: | OpenAIRE |
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