Quiz
Scalp pustules – 9 cases

Acneiform eruptions, i.e., follicular papules and pustules, may also arise in the scalp.

For each of the nine cases, study the image(s) and then answer the questions. You can click on the image to view a larger version if required.

Each case should take approximately 2 minutes to complete. There is a list of suggested further reading material at the end of the quiz.

Case 5

What is this condition called?

Acne necrotica

Describe its clinical features and treatment.

Acne necrotica refers to deep, painful pustules covered with eschar, which resolve with scarring. Scalp folliculitis may be controlled but rarely cured by long-term oral tetracyclines, e.g. doxycycline 50-100mg daily, or low-dose isotretinoin, e.g. 5 to 10mg daily.

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