Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 52 4 2014 04 15 323 326 EN Behdad Gharib Department of Pediatrics, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran. Mina Almasi Department of Medicine, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran. Sara Esmaeili Department of Pediatrics, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran. Soheila Sotoudeh Department of Pediatrics, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran. Maryam Monajemzadeh Department of Pathology, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran. Asghar Ramyar Department of Pediatrics, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran. Hossein Farshadmoghadam Department of Pediatrics, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran. Farah Sabouni Department of Pediatrics, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran. 2015 10 11 We presents an infant with several indurated plaques and nodules scattered on her body. She was brought to the hospital because of fever, runny nose and cough from one month ago. During the examination and investigation the plaques and nodules grabbed the attention of the clinicians and the skin biopsy and other lab works revealed the diagnosis of congenital leukemia. https://acta.tums.ac.ir/index.php/acta/article/view/4633 https://acta.tums.ac.ir/index.php/acta/article/download/4633/4388