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Carolyn H. Jones, MD, PhD; Colleen Andrews, MD
Author Affiliations: Department of Pediatrics, Loyola University Medical Center, Maywood, Ill.

Arch Pediatr Adolesc Med. 2005;159:1127.

A male infant was born following a vaginal delivery. A scalp electrode was used during the labor. Shortly after birth, a scalp abnormality was observed (Figure). There were 2 lesions measuring 1 x 1 cm and 2 x 1.5 cm. On examination, there was mild facial asymmetry and a small discrepancy in ear size. No further gross abnormalities were observed. No murmur was appreciated on auscultation. The neurologic examination revealed normal tone and no focal deficits. Head computed tomography scans indicated that the lesion progressed into the periosteum. There were no structural brain abnormalities. Blood chromosomes were normal, 46,XY.

View larger version (102K): [in this window] [in a new window] [as a PowerPoint slide]   Figure. Two separate skin lesions measuring 1 x 1 cm and 2 x 1.5 cm. Both lesions appear ulcerated.

What is your diagnosis?

SECTION EDITOR: ALBERT C. YAN, MD; ASSISTANT SECTION EDITOR: SAMIR S. SHAH, MD

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