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Alicia L. Miller, MD; Adam C. Esser, MD; Donald P. Lookingbill, MD
Mayo Clinic, Jacksonville, Florida

Arch Dermatol. 2008;144(6):795-800.

	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

An 80-year-old woman presented with a 1-year history of tender erosions with pus formation and crusting on her scalp. Lesions appeared within 1 week after eruption of herpes zoster and involved the left side of the scalp, the left side of her neck, and left ear. Skin lesions involving her ear and neck cleared with resolution of herpes zoster infection, but persistent crusted erosions and pustulesdeveloped on her scalp. Previous diagnostic findings included negative bacterial, fungal, and viral cultures. Multiple treatments failed, including topical and oral antibiotics, topical antifungal medications, and oral corticosteroids.

Physical examination revealed numerous crusted erosions and matting of the hair on just the left side of the scalp, with sharp demarcation at the midline (Figure 1). Detachment of the crust exposed thick, yellow, seropurulentdischarge interspersed with areas of scarring alopecia (Figure . . . [Full Text of this Article]

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