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June 1, 2008

Extensive Erosions and Pustular Lesions of the Scalp—Quiz Case

Author Affiliations
 

CARRIE ANN R.CUSACKMDSENAIT W.DYSONMDJACQUELINE M.JUNKINS-HOPKINSMDVINCENTLIUMDKARLA S.ROSENMANMD

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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