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DIAGNOSIS AND MANAGEMENT

There seemed to be several crops of 1 to 2 mm papular lesions in the scalp. A biopsy of a representative lesion revealed a collection of neutrophils and keratotic debris within the captured follicular infundibulum. There was a deep inflammatory infiltrate also. PAS stain revealed fungal organisms, spores, morphologically consistent with pytirosporum within the hair follicles. This microscopic picture is characteristic of malassezia folliculitis.

 

 

 

 

 

 

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