case_images: PMC6385512_01
case_images: Yellow, greasy, coarse, clinging crusts at the apex of the scalp on physical examination
case_images: IJT-11-31-g001.jpg
case_images: PMC6385512_01_IJT-11-31-g001.jpg
case_images: F1
case_images: 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.
case_images: A new lesion arised near the first one
case_images: IJT-11-31-g002.jpg
case_images: PMC6385512_01_IJT-11-31-g002.jpg
case_images: F2
case_images: 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].
case_images: The crust was removed with mineral oil, exposing a clean erythematous ulcer with bloody discharge
case_images: IJT-11-31-g003.jpg
case_images: PMC6385512_01_IJT-11-31-g003.jpg
case_images: F3
case_images: During the consultation, the crust was removed with mineral oil, exposing a clean, erythematous ulcer, with bloody discharge [Figure 3], that was intensely painful.