A 37-Year-Old Male with an ‘Itchy’ Lesion on his Face

The patient is a 37-year-old male who presents with a red, round lesion with a fine, scaly plaque on his face which developed over the past month. He also reports seeing similar lesions on his scalp while combing his hair. None of the lesions are painful, though he describes them as “slightly itchy.” No history of injury to the area.

View the image and consider what your diagnosis and next steps would be.