Case reports on erosive pustular dermatosis of scalp: a cross sectional study at a tertiary care centre
Keywords:Erosive pustular dermatosis of scalp, Inflammatory condition, Non-infectious, Chronic, Progressive, Notorious
Erosive pustular dermatosis of the scalp (EPDS) has been reported as a rare chronic and progressive non-infectious inflammatory condition of the actinically damaged scalp characterized by crusts, erosions and pustules. It tends to occur on the scalp of older people who have usually been treated for diffuse actinic damage and actinic keratoses. The list of possible differential diagnosis is long and includes tinea capitis, folliculitis decalvans, neutrophilic dermatosis, autoimmune vesiculobullous disorders, malignancy etc. Notoriously difficult to treat, these cases tend to be chronic and progressive. These patients often present after repeated treatment to various scalp dermatosis that doesn’t result in clearing instead persistence and perpetuation of the process. A cross sectional prospective study was conducted in department of dermatology in a tertiary care centre in which six cases of EPDS attending outpatient department from 2017 to 2019 were included. EPDS is more common but under recognized condition, hence less cases are reported till date. Increased awareness of and proper diagnosis of this condition changes the approach towards these patients, protects the scalp from involuntary insults and other precipitating factors that hinders with a better outcome.
Burton JL. Case for diagnosis: pustular dermatosis of the scalp. Br J Dermatol. 2006;97(Supp 15):67-8.
Pye RJ, Peachey RD, Burton JL. Erosive pustular dermatosis of the scalp. Br J Dermatol. 1979;100(5):559-66.
Mastroianni A, Cota C, Ardigo M, Minutilli E, Berardesca E. Erosive pustular dermatosis of scalp: a case report and review of literature. Dermatology. 2005;211:273-6.
Semkova K, Georgi T, Uwe W. Erosive pustular dermatosis (chronic atrophic dermatosis of the scalp and extremities). Clin Cosmet Investig Dermatol. 2013;6:177-82.
Patton D, Lynch PJ, Fung MA, Fazel N. Chronic atrophic erosive dermatosis of the scalp and extremities: A recharacterization of erosive pustular dermatosis. J Am Acad Dermatol. 2007;57(3):421-7.
Martin FJ, Herrera A, Rios JJ, Moreno JC, Camacho F. Erosive pustular dermatosis of the scalp after skin grafting. Dermatol Surg. 2001;27(8):766-7.
Drouin CA, Cloutier RA. Recurrence of erosive pustular scalp dermatosis after a skin graft. Ann Dermatol Venereol. 1999;126(4):335-8.
Skellett AM, Levell NJ. Erosive pustular dermatosis and osteoradionecrosis complications of radiotherapy. Clin Exp Dermatol. 2011;36(1):98-9.
Rongioletti F, Delmonte S, Rossi ME, Strani GF, Rebora A. Erosive pustular dermatosis of the scalp following cryotherapy and topical tretinoin for actinic keratoses. Clin Exp Dermatol. 1999;24(6):499-500.
Watanabe S, Takizawa K, Hashimoto N and Ishibashi Y. Pustular dermatosis of the scalp associated with autoimmune diseases. J Dermatol. 1989;16(5):383-7.
Drucker CR. Erosive and pustular dermatitis of the scalp, an under Recognized Condition. Case Reports and Review. Clin Res Dermatol Open Access. 2016;3(1):1-5.
Kristina Semkova, Georgi T, Uwe W. Erosive pustular dermatosis (chronic atrophic dermatosis of the scalp and extremities). Clin Cosmet Investig Dermatol. 2013;6:177-82.
Cenkowski MJ and Silver S. Topical tacrolimus in the treatment of erosive pustular dermatosis of the scalp. J Cutan Med Surg. 2007;11(6):222-5.
Dall’Olio E, Rosina P, Girolomoni G. Erosive pustular dermatosis of the leg: long-term control with topical tacrolimus. Australas J Dermatol. 2011;52(1):15-7.
Boffa MJ. Erosive pustular dermatosis of the scalp successfully treated with calcipotriol cream. Br J Dermatol. 2003;148(3):593-5.
Darwich E, Munoz-Santos C and Mascaro JM Jr. Erosive pustular dermatosis of the scalp responding to acitretin. Arch Dermatol. 2011;147(2):252-3.
Di Lernia V and Ricci C. Familial erosive pustular dermatosis of the scalp and legs successfully treated with ciclosporin. Clin Exp Dermatol. 2016;41(3):334-5.
Nusbaum AG, Gil J. Rippy MK, Warne B, Valdes J, Claro A, et al. Effective method to remove wound bacteria: comparison of various debridement modalities in an in vivo porcine model. J surg Res. 2012;176(2):701-7.