A 19 y.o. female presented to my office with these weird loo | Figure 1

A 19 y.o. female presented to my office with these weird looking skin lesions. Mother states patient began developing these when she was an infant but it progressively being getting worse. She has these lesions on her forearm, head, the planter aspect of her feet. I scraped on the lesions on her head and some fell off easily and thats the one you see in the picture on the white sheet.

What can this be and what the treatment?

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