Case: A 39-year-old female presented to a dermatology clinic with the complaint of eruptions on the right side of her face and into the hairline from the last month. The patient had delivered a baby 8-weeks ago and is breastfeeding. Before this visit, she had presented to her obstetrician with the same complaint. The patient had received acyclovir, valacyclovir, and prednisone but her condition did not improve.
Physical Examination: Physical examination revealed an erythematous scaly plaque on the right side of her face (refer to the cover image). The physician ordered a potassium hydroxide preparation, which was negative. The lady received trimethoprim, clindamycin gel, desonide ointment, and doxycycline that showed no improvement. Eventually, a 4-mm punch biopsy was carried out and a periodic acid-Schiff stain revealed the presence of hyphae in the stratum corneum of the sample.…
