A 29-month-old boy was referred to the general paediatrics clinic by his general practitioner with parental concerns regarding scars on his scalp. There were no other active concerns about his health. He achieved developmental milestones at the expected age. He had been admitted to another hospital at about 20 months of age with seizures, which resolved without recurrence and were attributed to hypoglycaemia of undefined aetiology. On examination, a round area of approximately 2 cm diameter with an irregular lumpy surface was visible in the central occipital area (figure 1). It was devoid of any hair and there were no signs of inflammation. A similar but smaller area approximately 1 cm in diameter was visible over the right side of the vertex. The rest of the general and systemic examination was unremarkable.
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