What Are These Scaly Plaques?

These scaly plaques on the scalp of a 32-year-old man have failed to respond to a topical antifungal. The patient has a 3-year history of pulmonary sarcoidosis.

Would you switch to a different antifungal agent-or is something else going on here?

Answer: Cutaneous manifestation of sarcoidosis

For more information about this case, please click here.

(Case and photograph courtesy of Drs Frederick Wenzel and Eva Simmons-O’Brien.)