Erosive pustular dermatosis of the scalp successfully treated with oral prednisone and topical tacrolimus*
نویسندگان
چکیده
UNLABELLED Erosive pustular dermatosis of the scalp is a rare inflammatory disorder of the scalp, affecting elderly patients after local trauma and leading to scarring or cicatricial alopecia. CASE REPORT An elderly female patient complained of painful pustules on the parietal region bilaterally with progressive enlargement and ulceration. A biopsy suggested erosive pustular dermatosis of the scalp and the patient was treated with prednisone 40 mg/day and 0.1% topical tacrolimus. After 10 weeks complete closure of the eroded areas was observed and a stable scarring alopecia developed.
منابع مشابه
Erosive pustular dermatosis of the scalp: treatment with topical tacrolimus.
A 65-year-old man had an 8-year history of erosive, pustular, and atrophic lesions on his alopecic scalp (Figure1). The lesions developed since 1992, after treatment of actinic keratoses by topical fluorouracil and local trauma. Histologic examination of a skin biopsy specimen revealed an ulcerated atrophic epidermis with parakeratosis; a chronic inflammatory dermal infiltrate composed of lymph...
متن کاملErosive pustular dermatosis of the scalp following herpes zoster: successful treatment with topical tacrolimus.
Erosive pustular dermatosis of the scalp (EPDS) is a rare disorder of the elderly characterized by multiple pustular lesions with erosions and crusting that result in scarring alopecia. EPDS typically develops in aged or sun-damaged skin with a history of trauma. Histopathologically, EPDS is nonspecific, showing atrophic epidermis and chronic inflammation. Bacteriological and mycological invest...
متن کاملErosive 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 d...
متن کاملResponse to photodynamic therapy for pustular dermatosis of the scalp and hypertrophic actinic keratosis.
Erosive pustular dermatosis of the scalp is a rare inflammatory skin disease that mainly affects older patients and is characterized by the presence of sterile pustules and scabs. Recently, several authors have reported the usefulness of photodynamic therapy in the treatment of this condition. We present the case of a 79-year-old man with skin phototype III and actinic keratosis of the face and...
متن کاملErosive pustular dermatosis (chronic atrophic dermatosis of the scalp and extremities)
Erosive pustular dermatosis is a rare noninfectious disease of the scalp or legs. Clinical findings are nonspecific, with crusts, atrophy, and pustules. A later complication of erosive pustular dermatosis is secondary cicatrical alopecia. The list of possible differential diagnoses is long, and includes infectious, inflammatory, and neoplastic dermatoses. Treatment is challenging. Topical drug ...
متن کامل