Brief Answer: Need more information Detailed Answer: Hi. Thanks for posting your concern at XXXXXXX I would like to gather some more information from you regarding your concern in order to be able to help you better. --How long has this lesion been present? --Is it single OR are there multiple lesions? Any history of patches of hair loss? --Any associated symptoms?Itching/pruritis Or Oozing of mucus from the lesion? take care regards

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Brief Answer: I would advice a Scalp Biopsy Detailed Answer: Hi. I would keep possibilities of either a: Seborrheoc keratosis OR Viral Wart OR Follicular mucinoses. Seborrheoic keratosis: --They start as a hyperpigmented macule and progress to the characteristic plaque. They are usually pigmented. They can be PALER in colour. --They start small (2 mm) and grow in size, up to 3 cm in diameter. Rarely, they can become very large. --Initially, lesions are velvety and soft in texture, before developing a warty surface and becoming uneven, with multiple plugged follicles. --The surface may become covered by adherent greasy scale. --The trunk is the most common site for seborrhoeic keratoses but they are also found on all sun-exposed areas (extremities, face and scalp). Warts: --Warts are local growths in the skin that are caused by human papillomavirus (HPV) infection. --They appear as smooth or rough verrucous growths(papules or patches). Follicular Mucinosis or Alopecia mucinosa: --Alopecia mucinosa is an inflammatory condition of the pilosebaceous unit. It is characterized by intrafollicular mucin deposition. --The head and neck are commonly involved. Expression of clear, mucinous fluid from follicular ostia may be elicited with application of pressure. If i was your treating doctor i would have advised a scalp biopsy from the lesion for a confirmatory histopathological diagnosis. take care regards

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