[Skip to Navigation]
August 1997

Papular and Nodular Lesions of the Scalp, Face, and Neck

Author Affiliations

USA; USA; Fort Riley, Kan (Dr Harden), and Fort Sam Houston, Tex (Dr Keeling)

Arch Dermatol. 1997;133(8):1027-1028. doi:10.1001/archderm.1997.03890440109015

REPORT OF A CASE  A previously healthy 39-year-old black man presented with a 4-month history of multiple papular and nodular lesions on his scalp, face, and neck, as well as painful lesions in his mouth and on his tongue. About a month before this eruption occurred, the patient experienced swelling of the right side of his neck; the swelling was associated with headache, sore throat, earache, arthralgia, sweats, and temperatures ranging from 38°C to 39°C, all of which lasted around 3 weeks. Several weeks before these symptoms developed, the patient had noticed a painless penile lesion.Examination revealed multiple flesh-colored to red-brown papules and nodules located on the face, neck, scalp, and nares (Figure 1). Several nodules had a crusted surface. White patches were noticed on the palate, tongue, and lips. There were collarettes of scale on both palms. Bilateral, tender adenopathy was found in the cervical, axillary,

Add or change institution