To the Editor.—
Juvenile xanthogranulomas (JXG) are benign red to yellow-brown nodules that most commonly measure less than 1 cm in size. The following case report illustrates an unusual macronodular variant.
Report of a Case.—
A 5½-month-old girl presented with an asymptomatic mass over the right scapula. The infant had been noted to have "a bruise" in this area at the time of birth and was believed to have a hemangioma. The lesion enlarged slowly and the coloration changed from a violaceous to a yellow hue. Yellow papules covering a portion of the surface appeared approximately one month prior to evaluation.On physical examination, an 8 × 5-cm, well-demarcated mass lay over the right scapula (Fig 1). The central portion was distinctly yellow, but the borders had a violaceous hue. The overlying skin had the texture of an orange peel. Four yellow papules (5 mm) were present at the inferior
Campbell L, McTigue MK, Esterly NB, Rosenbaum M. Giant Juvenile Xanthogranuloma. Arch Dermatol. 1988;124(11):1723-1724. doi:10.1001/archderm.1988.01670110079024