Not-So-Mellow Yellow

Is it the liver? Cholesterol? Genetics? Whatever the cause, a yellowish cast to a lesion, skin, or eyes is a signal for investigation.

Question 1 of 4

An otherwise healthy 13-month-old boy presents with a well-circumscribed, 3×4-cm, yellow-orange plaque with a verrucous velvety surface on the right side of his posterior scalp.

An otherwise healthy 13-month-old boy presents with a well-circumscribed, 3×4-cm, yellow-orange plaque with a verrucous velvety surface on the right side of his posterior scalp. Present since the child’s birth, the lesion was initially a flat and smooth hairless plaque. Over time, however, it has thickened and become more noticeable, with a bumpy, greasy consistency.

Match the diagnosis to the photo by letter

Necrobiotic xanthogranuloma

Nevus sebaceous

Primary biliary cirrhosis

Adult-onset xanthogranuloma

Clinician Reviews. 2019 July;29(7):16e-17e

This quiz is not accredited for CME.

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