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Halo Scalp Ring With Purulent Drainage in a Newborn

Heugel, Judson MD*; Spiro, David MD, MPH†‡; Meckler, Garth D. MD, MSHS†‡

doi: 10.1097/PEC.0b013e3181cd14c7
Illustrative Cases

We present the case of a 2-week-old male infant who repeatedly presented to the pediatric emergency department for fussiness and drainage from a head wound. The infant had an ultimate diagnosis of halo scalp ring, a rare dermatologic condition that is treated conservatively. This condition shares characteristics with infectious processes and must be differentiated from more serious illness to minimize unnecessary and expensive medical treatment.

From the *Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA; and Departments of †Medicine and ‡Pediatrics, Oregon Health & Science University, Portland, OR.

Reprints: Garth Meckler, MD, MSHS, Oregon Health & Science University, Portland, OR (e-mail:

© 2010 Lippincott Williams & Wilkins, Inc.