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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 3 male patients of African descent. Posterior view of the scalp. Manifests features of thick-firm scalp with peau d’Orange surface and acne keloidalis nuchae – like papules in the nape area (A): close up view of a thick firm scalp showing a peau d’Orange surface with recessed (pitted) hair exit points (orange arrows) (B).