Hair loss and lymphadenopathy

A 19 year old man presented with a two month history of lumps behind the ears and in the groin, and scalp hair loss. He had felt generally unwell during the past month. Physical examination revealed painless generalised lymphadenopathy in the postauricular (fig 1), posterior cervical, and inguinal regions. He had patchy, non-cicatricial (non-scarring) alopecia with a moth eaten appearance (5 mm diameter patches) all over the scalp (fig 1). Fungal microscopy was negative. Dermoscopy revealed yellow …