A 52 year-old female patient presented with multiple painful pustules all over the scalp associated with loss of hair over the affected areas. On hair root examination, ectothrix was detected and histopathology showed multiple arthrospores within hair follicles and hyphae within stratum corneum. The patient was unresponsive to oral antifungals; hence, oral corticosteroids with oral terbenafine were administered, which produced drastic improvement within one week. We report this case to highlight the rare occurrence of a childhood infection in adults mimicking erosive pustular dermatoses. We stress the importance of using oral corticosteroids in the management of inflammatory tinea capitis.