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Dipesh D. Duttaroy, MS, MBBS; Jitendra Jagtap, MS, MBBS; Ujjwal Bansal, MS, MBBS; Bithika Duttaroy, MD, MBBS

Arch Pediatr Adolesc Med. 2007;161(12):1211.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

An 11-year-old boy presented with low-grade fevers and a year-long history of multiple nodules involving his face, neck, and axillae. A number of these nodules had ruptured during this period, resulting in seropurulent discharge from the lesions. Aside from topically applied herbal remedies, he had not taken any other medications. During this period, he weighed 20 kg and had lost about 5 kg during the past 12 months.

Cystic lesions were present in the right and left parotid region (Figure 1), along with multiple matted lymph nodes in the anterior and posterior triangles of the neck, with multiple discharging sinuses. Irregular ulcers, nodules, and plaques were present over the neck, upper chest, and axillae, with crusting, scarring, and dusky red discoloration of the surrounding area (Figure 2).

Figure appears in full text version. Figure 1. . . . [Full Text of this Article]

Author Affiliations: Departments of Surgery (Drs D. D. Duttaroy, Jagtap, and Bansal) and Microbiology (Dr B. Duttaroy), Government Medical College and Sir Sayajirao General Hospital, Baroda, Gujarat, India.

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