RT Journal A1 Daly M, Barnett C, Feldstein N, Garzon M T1 PIcture of the month—quiz case JF Archives of Pediatrics & Adolescent Medicine JO Archives of Pediatrics & Adolescent Medicine YR 2010 FD June 1 VO 164 IS 6 SP 577 OP 577 DO 10.1001/archpediatrics.2010.68-a UL http://dx.doi.org/10.1001/archpediatrics.2010.68-a AB A 9-year-old girl presented to our pediatric dermatology practice for evaluation of a congenital scalp lesion. Her new pediatrician had noted the scalp nodule on examination and subsequently referred her. Her family reported that at age 2 weeks, the nodule became erythematous and depressed. Thereafter, it gradually expanded and protruded as the patient grew. There was no history of pain, pruritus, breakdown, bleeding, or discharge from the site. The patient was delivered at full term by normal, spontaneous vaginal delivery, and she had no other significant medical history or medical symptoms. Her family history was also unremarkable.