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<p>A 29-year-old man comes in with a history of excruciating breakouts on the neck and back of his scalp. At least a year has passed since the ailment first appeared. His younger brother is receiving treatment for mild acne that harms his cheeks and forehead, but he disputes that the illness runs in the family. Physical examination of the affected areas reveals numerous hard papules and pustules connected to hair loss.</p>

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Excruciating breakouts on the neck