PMC9257709_01
(a and b) Physical examination revealed a generalised hypopigmented macular rash diagnosed as verruca plana.
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The lesions resembled verruca plana (Figure 1).
(a) Right parietal scalp ulcer; (b) Left occipital lesion, following a wedge biopsy.
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An ulcerating lesion measuring approximately 3 cm x 3 cm in diameter, with rolled edges and an uneven base, was present on the right parietal region of the scalp (Figure 2a). Repeat examination four weeks later revealed two further hyperpigmented plaque-like scalp lesions, one on the left occipital region, measuring approximately 1.5 cm x 1.5 cm (Figure 2b), and a second on the frontal region, measuring 0.7 cm x 0.7 cm in diameter.