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Clinical Problem Solving: Pathology
July 2011

Pathology Quiz Case 1

Author Affiliations
 

SECTION EDITOR: JULIA C. IEZZONI, MD

Arch Otolaryngol Head Neck Surg. 2011;137(7):723. doi:10.1001/archoto.2011.101-a

A 6-month-old boy presented to his primary care pediatrician with a raised, nontender, draining lesion on the anterior aspect of the right side of his neck. The lesion was present at birth, but it had recently become more raised and erythematous. There was no history of drainage from the lesion. Two weeks before presentation, the patient had an upper respiratory infection. Physical examination revealed a soft, orange, erythematous 1.5 × 1.0-cm lesion along the anterior border of the right sternocleidomastoid muscle at the level of the hyoid bone (Figure 1). There were no other cutaneous findings. The patient was referred to pediatric otolaryngology.

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