Erosive pustular dermatosis of the scalp: a case treated successfully with isotretinoin.

Sir, Erosive pustular dermatosis of the scalp (EPDS) is a rare skin disease seen in elderly people. The disease is characterized by chronic pustular and eroded lesions with crusts confined to the scalp that heal with scarring alopecia. It is often preceded by trauma to the skin. We describe here an elderly woman with sun-damaged skin, who developed a wound on the scalp. After visiting several doctors and departments a diagnosis of EPDS was suspected and treatment with oral isotretinoin was initiated with a good final result.