case_images: PMC11757217_01
case_images: Before initiation of topical roflumilast cream 0.3% (A), after using it twice daily for 1 month (B), then after using it once daily for 2 months (C), and finally after 6 months of initiating treatment (D).
case_images: gr1.jpg
case_images: PMC11757217_01_gr1.jpg
case_images: fig1
case_images: A 76-year-old female, known to have diabetes mellitus type II, presented to the dermatology outpatient department with a chronic, intense itch of the scalp of more than 8 years duration (Fig 1, A). She was prescribed roflumilast cream 0.3% twice daily for 1 month (Fig 1, B), to be decreased to once daily for another month. Follow-up 2 months later showed postinflammatory erythema, only one persistent nodule on the scalp out of the 10 previously described nodules, and hair regrowth measuring around 1 mm (Fig 1, C). No scars were noted (Fig 1, D).