Abstract
Mastocytosis encompasses a spectrum of conditions characterized by abnormal accumulation of mast cells in the skin or other internal organs. While urticaria pigmentosa is the most common clinical variant of mastocytosis, a rare presentation with yellowish lesions resembling xanthomas can also develop, and can be often misdiagnosed as juvenile xanthogranuloma (JXG). We present a case of a 6-year-old boy with a 4-year history of pruritic yellow to orange papules scattered over the scalp, neck, and trunk.
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