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Scarring alopecia with a folliculitis decalvans-like presentation secondary to anti-EGFR is an uncommon negative event. The exact pathophysiology remains badly grasped. Treatment solutions are difficult, and while systemic antibiotics work well, they need to be preserved for an extended period in order to avoid recurrence. Early recognition is important to reduce development of scarring alopecia as a result of problems of stopping therapy in advanced-stage carcinoma.Hepatic encephalopath
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