A 66-year-old woman presented with a 10-year history of evolving pink to red, nodular, multilobulated, and exophytic lesions on her scalp. She recalled having similar nodules on her head that had been excised on 3 separate occasions in the past 50 years.
Physical examination revealed multiple nodules of varying size, up to 3 cm in diameter, that covered the entire scalp. They were pink, smooth, dome-shaped, and firm. Some were necrotic and infected (Figure 1 and Figure 2). Similar lesions were found on her face, ears, neck, back, chest, abdomen, and vulva. The results of the rest of the examination were unremarkable. The findings of computed tomography of the head and thorax were normal. Biopsy specimens were obtained from several scalp lesions (Figure 3).
Salvan D, Nguyen RCL, Wassef M, Portier F, Enjolras O, Hadjean E, Tran Ba Huy P. Multiple and Disseminated Scalp Nodules. Arch Dermatol. 2001;137(2):219-224. doi: