IBQs ;
A 54-year-old man with poorly controlled diabetes mellitus presents with a 3-week history of painful ulcerative lesions over the scalp and left side of the face. The lesions began as erythematous papules that rapidly progressed to necrotic black crusts with purulent discharge. He also complains of fever, malaise, and severe facial pain. On examination, multiple ulcerative plaques with thick black eschar and surrounding erythema are seen over the scalp, cheek, and preauricular region. Which of the following is the most likely diagnosis?

A. Cutaneous sarcoidosis
B. Ecthyma gangrenosum
C. Disseminated herpes zoster
D. Lupus vulgaris

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