PMC6385512_01
Yellow, greasy, coarse, clinging crusts at the apex of the scalp on physical examination
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F1
On physical examination, there were yellowish, coarse crusts attached to the apex of the scalp associated with fine, diffuse scaling on the scalp [Figure 1] and seborrheic areas on the face.
A new lesion arised near the first one
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F2
The patient returned in several consultations, for a year, without improvement of the lesion and with the appearance of a new plate surmounted by a crust next to the old one [Figure 2].
The crust was removed with mineral oil, exposing a clean erythematous ulcer with bloody discharge
IJT-11-31-g003.jpg
PMC6385512_01_IJT-11-31-g003.jpg
F3
During the consultation, the crust was removed with mineral oil, exposing a clean, erythematous ulcer, with bloody discharge [Figure 3], that was intensely painful.