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Question: Can you identify this condition?

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Vol 59: MARCH • MARS 2013

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Canadian Family PhysicianLe Médecin de famille canadien

271

Dermacase

Answer on page 272

Can you identify this condition?

Yousef Binamer

MD

A

7-year-old boy presented to the clinic with a 6-week history of a growing tumour on his scalp. He was attending school and had no pets at home. Physical examination revealed a 4-cm by 4-cm crusted tumour on the vertex with occipital lymph node enlargement.

The most likely diagnosis is

1. Kerion (inflammatory tinea capitis) 2. Pyogenic abscess

3. Metastatic cancer to scalp

4. Deep fungal infection

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