“…Although skeletal, lymph node, and bone marrow are the most frequent sites of dissemination, 17% to 25% of infants have cutaneous involvement [10][11][12]. On examination, cutaneous neuroblastoma is mobile and nontender [13,14]. Palpation of metastases can cause prolonged blanching and an erythematous halo secondary to release of catecholamine from the tumor causing local vasoconstriction [14,15].…”