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Figure 1. A 76-year-old man who had taken various doses of corticosteroids and methotrexate for Churg–Strauss syndrome was seen for anorexia, weakness, and painful "bumps" on his scalp. A creamy yellowish material spontaneously drained from some of the scalp lesions. Examination revealed several partially crusted furuncular lesions as well as enlargement of occipital and cervical lymph nodes. Treatment with dicloxacillin and, subsequently, azithromycin produced no improvement. Fever and chills appeared. The patient did not have a headache, chest pain, cough, or other pulmonary symptoms. Reexamination revealed a 3-cm erythematous, nonfluctuant soft-tissue mass on the back in addition to the . . . [Full Text of this Article] |
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