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March 1991

Ulcerated Papules, Plaques, and Nodules of the Scalp and Face

Author Affiliations

Case Western Reserve University and MetroHealth Medical Center, Cleveland, Ohio

Arch Dermatol. 1991;127(3):405-406. doi:10.1001/archderm.1991.01680030125019

REPORT OF A CASE  In January 1987, a 38-year-old man presented to another institution with a several-month history of pruritus, night sweats, and an enlarged left axillary node. He had been diagnosed with stage IIB nodular sclerosing Hodgkin's disease and was treated with radiation to the upper mandible with resolution of his night sweats and a decrease in his pruritus. However, at the completion of his radiation therapy, papules and nodules developed on the patient's forehead and scalp. A skin biopsy specimen obtained at another institution reportedly showed follicular mucinosis with dermal and subcutaneous eosinophilia. The patient was treated with minocycline (100 mg orally twice a day) with little improvement.In January 1988, the patient was referred to the Department of Dermatology, MetroHealth Medical Center, Cleveland, Ohio, when new eroded papules and plaques developed on the left preauricular and postauricular areas (Fig 1). He received no therapy except minocycline and had no

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