A case of juvenile xanthogranuloma in the hand is reported. The lesion was atypical clinically, being sited in the hand and the tumour was so large that it extended from the palmar to the dorsal surface. Curettage was performed at seven weeks after birth and histological examination established a diagnosis of juvenile xanthogranuloma. The post-operative course was uneventful, and the residual lesion had disappeared spontaneously four years after operation.
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