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Clinical Challenge
November 27, 2019

Subcutaneous Nodule of the Midline Anterior Neck in an Infant

Author Affiliations
  • 1University of Washington School of Medicine, Seattle
  • 2Department of Laboratories, Seattle Children’s Hospital, Seattle, Washington
  • 3Department of Pathology, University of Washington School of Medicine, Seattle
  • 4Division of Dermatology, Department of Pediatrics, University of Washington School of Medicine, Seattle
  • 5Seattle Children’s Hospital, Seattle, Washington
JAMA Otolaryngol Head Neck Surg. 2020;146(2):196-197. doi:10.1001/jamaoto.2019.3551

A 6-month-old infant presented with a congenital papule that had been growing proportionally in size to the infant since birth (Figure 1). No associated pain or pruritus was noted, and the papule had never bled or produced other fluid or debris. The infant had no other congenital anomalies and had been meeting all major developmental milestones. On clinical examination, a superficial, white-yellow papule was identified on the anterior surface of the neck, situated at the midline superior to the sternal notch. It measured 6 mm in diameter and was not associated with overlying surface changes or evident discharge. Dermoscopy results showed scattered telangiectatic vessels over the papule, accentuated peripherally.

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