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. 2022 Jun 27;15:1133–1147. doi: 10.2147/CCID.S369346

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© 2022 Umar et al.

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Example of thick/firm scalp. Patient 2 male patients of African descent. Left posterior oblique view showing thick firm scalp (A). Closer up view of thick firm scalp, showing peau d’Orange surface, hairs exiting from craters (pits) with hoods (yellow arrows), and bunched/bouquet hair (blue arrow). Chaotic hair directions (asynchrony) are evident (B).