Asymptomatic erythematous plaques on the scalp and face.

WWW.MDEDGE.COM/CUTIS An 84-year-old man presented with gradually enlarging, asymptomatic, erythematous to violaceous plaques on the face and scalp of 11 years’ duration ranging in size from 0.5×0.5 cm to 10×8 cm. The plaques were unresponsive to treatment with topical steroids. The lesions were nontender with no associated bleeding, burning, or pruritus. The patient denied any trauma to the sites or systemic symptoms. He had a history of essential hypertension and benign prostatic hyperplasia and had been taking ramipril, tamsulosin, and dutasteride for 5 years. His medical history was otherwise unremarkable, and routine laboratory findings were within normal range.

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