title: Acute lymphocytic leukemia presenting as an isolated scalp nodule in an infant.
abstract: We describe the presentation and management of a patient referred for a presumed benign scalp lesion in infancy. The subcutaneous nodule was ultimately diagnosed as the first manifestation of acute lymphoblastic leukemia. We review leukemia cutis with special emphasis on the differential diagnosis of scalp nodules in infancy that may be encountered by the plastic surgeon.
authors.affiliation: Section of Dermatology, Department of Pediatrics, Dartmouth Hitchcock Medical Center, Dartmouth Medical School, One Medical Center Drive, Lebanon, NH 03756, USA.
authors.forename: P Chris
authors.initials: PC
authors.lastname: Anderson
authors.forename: Mitchell A
authors.initials: MA
authors.lastname: Stotland
authors.forename: James G H
authors.initials: JG
authors.lastname: Dinulos
authors.forename: Ann E
authors.initials: AE
authors.lastname: Perry
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D005260:Female; D005434:Flow Cytometry; D006258:Head and Neck Neoplasms / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D007223:Infant; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000175:diagnosis* / Q000188:drug therapy; D012074:Remission Induction; D012535:Scalp; D012878:Skin Neoplasms / Q000175:diagnosis* / Q000188:drug therapy