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Alan S. Boyd, MD; John Q. Binhlam, MD
From the Departments of Medicine (Dermatology) (Drs Boyd and Binhlam) and Pathology (Dr Boyd), Vanderbilt University, Nashville, Tenn.

Arch Dermatol. 2002;138:1291-1293.

	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 35-year-old black man with adult-onset diabetes mellitus presented to our clinics in July 1999 with a 2-year history of alopecia and a boggy scalp with cysts and pustules. He had been previously treated with 40 mg daily of isotretinoin for 3 months (Accutane; Roche Laboratories Inc, Nutley, NJ) and 25 mg daily of dapsone for 2 months with minimal improvement. Oral antibiotic administration was ineffective. The patient complained that in addition to being unsightly, his condition was continuously uncomfortable.

Physical examination of his scalp demonstrated patchy cicatricial alopecia on the crown, vertex, and occiput with variable dyschromia (Figure 1). Numerous pustules, cysts, and erosions were noted.

Figure appears in full text version. Figure 1. Diffuse scarring of the scalp from dissecting cellulitis prior to laser-assisted epilation.

A punch biopsy specimen was taken, which demonstrated a diminished number of follicles with scarring, follicle rupture (Figure . . . [Full Text of this Article]

THERAPEUTIC CHALLENGE

SOLUTION

COMMENT



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