Medical history Two-year-old female child, presents nodules in scalp and left infraorbital region with progressive growth and pain over the past seven months, associated to seborrheic dermatitis on scalp. Four months ago, she progressed with polydipsia, polyuria and chronic bilateral otorrhea not responsive to antibiotics. The patient was previously entire healthy. Radiological study of the skull was conducted. Image 1: Photo of left hemifaceImage 2: Photograph of scalpImage 3: Radiography of skull in left lateral Question: Based on clinical history and on the images submitted, the most likely diagnosis is: Langerhans cell histiocytosis Juvenile Xanthogranuloma Hemophagocytic Syndrome Neuroblastoma Time is Up! Time's up
