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Mai P. Hoang, MD; Sylvia A. Owen, MD; Camile Haisley-Royster, MD; Mary Helen Allen, MD; Christopher R. Shea, MD; M. Angelica Selim, MD
University of Texas Southwestern Medical Center, Dallas (Dr Hoang), and Duke University Medical Center, Durham, NC (Drs Owen, Haisley-Royster, Allen, Shea, and Selim)

Arch Dermatol. 2001;137:1241-1246.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 46-year-old woman presented with a history of pruritus and crusting of the scalp. She also reported a 3-month history of painful axillary ulcerations and a 2-week history of painful genital ulcerations. Physical examination revealed diffuse yellowish crusting with underlying erosions involving the entire scalp and extending beyond the hairline onto the forehead (Figure 1). Bilateral ulcerations with surrounding erythema and a small amount of yellowish drainage (Figure 2) were present on her axillae. Erosions involving the labia majora were seen extending into the inguinal creases bilaterally. A fungal culture from the scalp and a viral culture from the genitalia were negative.

Figure 1.

Figure 2.

Punch biopsy specimens were obtained from the scalp and the labia majora (Figure 3 and Figure . . . [Full Text of this Article]

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