Papular and Nodular Lesions of the Scalp, Face, and Neck

Abstract

REPORT OF A CASE A previously healthy 39-year-old black man presented with a 4-month history of multiple papular and nodular lesions on his scalp, face, and neck, as well as painful lesions in his mouth and on his tongue. About a month before this eruption occurred, the patient experienced swelling of the right side of his neck; the swelling was associated with headache, sore throat, earache, arthralgia, sweats, and temperatures ranging from 38°C to 39°C, all of which lasted around 3 weeks. Several weeks before these symptoms developed, the patient had noticed a painless penile lesion. Examination revealed multiple flesh-colored to red-brown papules and nodules located on the face, neck, scalp, and nares (Figure 1). Several nodules had a crusted surface. White patches were noticed on the palate, tongue, and lips. There were collarettes of scale on both palms. Bilateral, tender adenopathy was found in the cervical, axillary,