Photo Rounds

Inflammatory masses on boy’s scalp

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The fact that our 8-year-old patient’s brother and sister also complained of similar papules helped us make the diagnosis.



An 8-year-old boy was brought by his family to our clinic for treatment of 2 pruritic, inflammatory masses on his scalp. He’d had the masses for one month, and they hadn’t responded to an unknown treatment administered at a health center in Afghanistan. The edematous lesions were ulcerated with a crust, and had a diameter of approximately 6 cm and 4 cm on the frontal and occipital scalp, respectively (FIGURE 1A AND 1B).

The boy also had a well-demarcated, erythematous macule with scales on his face, but no other symptoms. The boy’s brother and sister also complained of pruritic, erythematous papules on their arms and faces. The family denied raising or having any recent contact with animals.


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