RT Journal A1 Adil HF, Horii KA, Hoeltzel MF T1 PIcture of the month—quiz case JF Archives of Pediatrics & Adolescent Medicine JO Archives of Pediatrics & Adolescent Medicine YR 2012 FD March 1 VO 166 IS 3 SP 283 OP 283 DO 10.1001/archpediatrics.2011.789a UL http://dx.doi.org/10.1001/archpediatrics.2011.789a AB Physical examination revealed a thriving infant with 2 erythematous plaques with well-demarcated borders and central atrophy on the left parietal scalp and postauricular region (Figure). The remainder of his physical examination was unremarkable. Laboratory studies revealed an elevated aspartate aminotransferase level of 339 U/L (reference range, 10-60 U/L) (to convert to microkatals per liter, multiply by 0.0167) and alanine aminotransferase level of 364 U/L (reference range, 5-50 U/L) (to convert to microkatals per liter, multiply by 0.0167) but an otherwise normal complete blood cell count and normal comprehensive metabolic profile.