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Ask dermdoc19 Your Own Question
dermdoc19, Dermatologist
Category: Dermatology
Satisfied Customers: 4124
Experience:  30 years practice in general and cosmetic dermatology
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Why do I have sores in my scalp that hurt and ooze. I have

Customer Question

Why do I have sores in my scalp that hurt and ooze. I have been to the dr and have had 2rounds of antibiotics but they still hurt and are not getting better. Please help
Submitted: 5 years ago.
Category: Dermatology
Expert:  dermdoc19 replied 5 years ago.
dermdoc19 :


dermdoc19 :

What is your age and sex?

dermdoc19 :

Where exactly on the scalp are you getting these lesions?

dermdoc19 :

Would it be possible to forward a photograph?

Customer: These are on my mother and it won't be until later this afternoon before I can get that done. But as soon as we do we we get back in touch with you. Thanks,,,,,
dermdoc19 :

Good, that would be fine.

Customer: Thanks,,,,,
dermdoc19 :

Hope your are trying to send a photograph. Thank you.

Customer: Sorry for just getting back with you and we did get some pictures but how do we go about sending them to you. E-Mail or is there a way to do it on this site. Sorry Again
dermdoc19 :

you can send it by clicking on the paper clip icon and uploading.

Customer: Ok it's on my wife,s phone and she is at work and it may not be until tonight before I can get it sent to you but I will try to run buy her office later on and see if she is busy. She is a massage therapist. Thanks Again For Your Patience
dermdoc19 :

No problem take your time.

Customer: Thanks
Customer: I just sent the pic as a reply to the email at [email protected] ....can you please send me your email address if you don't receive the pic...thanks


Full Size Image
Here is the pic, finally! So sorry for all the confusion, we are technically challenged sometimes. Also- a skin biopsy has not been done as of yet. These sores have been going on since July and obviously seems to be getting worse, not better.

dermdoc19 :

Thank you for the photograph. It is good one and helpful. This does not appear to be an infection. It may be something uncommon so I would recommend a skin biopsy, both for regular H and E (stnadard) and immunoflorescence. The latter would detect whether she is producing antibodies. I can think of three entities this might be: Bullous lichen plano-pilaris, bullous discoid lupus erythematosus and bullous pephigoid of the Brunsting-Perry type. It would take the above named biopsies to sort this out. None of these would respond well to antibiotics or any steroid short of potent ones.

dermdoc19 :

If you would like I can explain these entities tomorrow, it is getting late here on the East Coast.

dermdoc19 :

One other question? Whose nails are those? They look like the nails of lichen planus. There is good treatment for all of the conditions I mentioned, so it would be valuable to consult with a dermatologist if she has not seen one yet.

Customer: If you can explain all of these different enities that you just sent. Thanks Again,,,,,

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