RT Journal A1 Duttaroy DD, Jagtap J, Bansal U, Duttaroy B T1 PIcture of the month—quiz case JF Archives of Pediatrics & Adolescent Medicine JO Archives of Pediatrics & Adolescent Medicine YR 2007 FD December 1 VO 161 IS 12 SP 1211 OP 1211 DO 10.1001/archpedi.161.12.1211 UL http://dx.doi.org/10.1001/archpedi.161.12.1211 AB 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).