case_images: PMC11748754_01
case_images: (A-G) Dermatological examination on admission showed erythematous papules, and pustules on the face (A and B), papules with waxy scales on the scalp (C), neck, chest, abdomen, both arms and both legs (D and E), and erythematous periungual with edema and serous crust on the both first toes (F and G).
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case_images: Dermatological examination showed generalized xerosis, erythematous papules and pustules on the face (Figure 1A and B), papules with waxy scales on the scalp (Figure 1C), erythematous papules and pustules on the neck, chest, abdomen, back, arms (Figure 1D), and legs (Figure 1E). There were also painful erythematous periunguals with serous crusts on both of the first toes (Figure 1F and G).
case_images: (A-D) Trichoscopy examination of the hair on the scalp (A and B) revealed pili torti (blue arrows), follicular hyperkeratosis (purple circles), multiple hair tufts with erythema and scaling of the skin (green circles); eyebrow, and eyelashes (C and D) revealed pili torti (blue arrows) and tapering hair (red circles).
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case_images: (A-G) Dermatological examination on week four of observation showed clinical improvement less erythematous papules on the face (A and B), less papules on the scalp (C), neck, chest, abdomen, both arms and both legs (D and E), and less erythematous and edematous periungual on the both first toes (F and G).
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case_images: A significant improvement was seen on the fourth week of observation, showing less erythematous papules, and disappearance of pustules on the face (Figure 3A and B), a reduction of pustules and greasy scales on the scalp (Figure 3C), less erythematous papules, and disappearance of pustules on the chest, back, arms (Figure 3D), and legs (Figure 3E) with a reduction of periungual redness and swelling (Figure 3F and G).