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June 01, 2008

Extensive Erosions and Pustular Lesions of the Scalp—Quiz Case

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Copyright 2008 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2008

Arch Dermatol. 2008;144(6):795-800. doi:10.1001/archderm.144.6.795-c

An 80-year-old woman presented with a 1-year history of tender erosions with pus formation and crusting on her scalp. Lesions appeared within 1 week after eruption of herpes zoster and involved the left side of the scalp, the left side of her neck, and left ear. Skin lesions involving her ear and neck cleared with resolution of herpes zoster infection, but persistent crusted erosions and pustulesdeveloped on her scalp. Previous diagnostic findings included negative bacterial, fungal, and viral cultures. Multiple treatments failed, including topical and oral antibiotics, topical antifungal medications, and oral corticosteroids.

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