PMC4166054_01
Clinical appearance of the scalp: Diffuse crusting associated with multiple pustular, exudative, and erosive lesions
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F1
On physical examination, a large ulcerative plaque covered with crusts was seen on the parietal part of his scalp [Figure 1].
After 1 week of the treatment with topical steroid
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F2
The patient was treated with topical clobetasol propionate lotion, twice daily, which resulted in significant pustular lesion improvement and re-epithelization within a week [Figure 2].
Dense infiltrate of neutrophils and lymphocytes in reticular dermis and around hair follicles
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F3
There was no evidence of malignancy or vasculitis [Figure 3].