Erosive pustular dermatosis of the scalp: causes and treatments

International Journal of Dermatology
Katrice M Karanfilian, Cindy Wassef

Abstract

Erosive pustular dermatosis of the scalp is a rare condition which primarily affects older women after local trauma and has historically been treated with topical steroids. As it is a rare entity and resembles other dermatologic conditions, it may easily be misdiagnosed. Identifying the causes and evaluating the efficacy of treatments of erosive pustular dermatosis of the scalp (EPDS) is of great importance to both avoid misdiagnosis and ensure optimal treatment of this rare condition. There are numerous causes. In addition to surgeries and physical injuries, topical and procedural treatments for actinic keratoses and androgenetic alopecia can trigger the development of lesions. There are also documented associations with several autoimmune and systemic conditions. Besides corticosteroids, topical tacrolimus and photodynamic therapy were the most commonly used treatments for EPDS. They were effective with few recurrences and adverse effects. Other successful treatment options were topical dapsone, silicone gels, calcipotriol, acitretin, and isotretinoin. Oral dapsone can be used in cases of disseminated disease. Zinc sulfate should be considered with low-serum zinc levels. While cyclosporine was effective, there were adverse ef...Continue Reading

References

May 1, 1979·The British Journal of Dermatology·R J PyeJ L Burton
Oct 1, 1989·The Journal of Dermatology·S WatanabeY Ishibashi
Jun 1, 1982·The British Journal of Dermatology·M IkedaH Isaka
Feb 19, 2000·Clinical and Experimental Dermatology·F RongiolettiA Rebora
Mar 26, 2003·The British Journal of Dermatology·M J Boffa
Jun 18, 2003·Archives of Dermatology·Emmanuel LaffitteJean-Hilaire Saurat
Dec 21, 2004·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Emmanuel LaffitteJean-Hilaire Saurat
Jul 28, 2005·Clinical and Experimental Dermatology·M SéezA Noda
Dec 13, 2006·Pediatric Dermatology·Dawn H SiegelIlona J Frieden
Nov 29, 2007·Journal of Cutaneous Medicine and Surgery·Marta J Cenkowski, Shane Silver
Apr 3, 2008·Journal of the American Geriatrics Society·Mario VaccaroBiagio Guarneri
Feb 24, 2009·Journal of the American Academy of Dermatology·Claudio Guarneri, Mario Vaccaro
Apr 3, 2009·Dermatology : International Journal for Clinical and Investigative Dermatology·Rui Tavares-Bello
Jan 15, 2010·Photodermatology, Photoimmunology & Photomedicine·Teresa MeyerEnrique Herrera
Feb 20, 2010·Acta Dermato-venereologica·Ryoko ShimadaRyuhei Okuyama
Feb 23, 2011·Archives of Dermatology·Esteve DarwichJosé M Mascaró
Jun 18, 2011·Acta Dermato-venereologica·Jamison D FeramiscoMartin Steinhoff
Aug 16, 2011·Journal of the American Academy of Dermatology·Nicole B Tardio, Theodore J Daly
Nov 15, 2011·Journal of the American Academy of Dermatology·Karen Chen BroussardJenny E Murase
Dec 21, 2011·Archives of Dermatology·Lydia I EleftheriouErik J Stratman
Jul 23, 2013·Clinical, Cosmetic and Investigational Dermatology·Kristina SemkovaUwe Wollina
Nov 1, 2013·Anais Brasileiros De Dermatologia·Mariana Ribas ZahdiFabiane Andrade Mulinari-Brenner
Nov 28, 2013·Burns : Journal of the International Society for Burn Injuries·Sammy Al-BennaCiaran O'Boyle
Nov 29, 2013·Acta Dermato-venereologica·Birgit AignerLaila El Shabrawi-Caelen
Sep 25, 2014·Advanced Biomedical Research·Zabihollah ShahmoradiMohsen Pourazizi
Nov 13, 2014·Journal of the European Academy of Dermatology and Venereology : JEADV·X YuZ Song
Jan 30, 2015·Dermatologic Therapy·Mario VaccaroSerafinella P Cannavò
Mar 20, 2015·European Journal of Dermatology : EJD·Blandine Roche-KublerAnne Sophie Dupond
Aug 6, 2015·Clinical and Experimental Dermatology·V Di Lernia, C Ricci
Sep 6, 2015·International Journal of Dermatology·Luís UvaAnthony V Benedetto
Oct 25, 2016·Journal of the European Academy of Dermatology and Venereology : JEADV·F RongiolettiS Javor
Mar 17, 2016·Journal of the American Academy of Dermatology·Jennifer G PowersTania J Phillips
Nov 20, 2016·Clinical and Experimental Dermatology·C PernetN Raison-Peyron
Feb 19, 2017·Journal of the American Academy of Dermatology·Michela StaraceBianca Maria Piraccini
Mar 24, 2017·JAAD Case Reports·Jay S Herbst, Alexander T Herbst
Aug 17, 2017·JAMA Dermatology·Julie E MervakFrank Wang
Sep 5, 2017·Journal of the European Academy of Dermatology and Venereology : JEADV·L AtzoriF Rongioletti
Jan 4, 2018·Nutrients·Pei-Hui LinJianjie Ma
Jan 10, 2018·European Journal of Dermatology : EJD·Lucie PeuvrelBrigitte Dreno
Sep 11, 2018·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Paulo R CunhaGeorge Kroumpouzos

❮ Previous
Next ❯

Citations

Mar 20, 2021·Journal of Cosmetic Dermatology·Mario VaccaroFrancesco Borgia
Aug 18, 2021·International Journal of Dermatology·Ambra Di Altobrando, Michela Tabanelli
Jan 9, 2022·Journal of Cosmetic Dermatology·Mario VaccaroFrancesco Borgia

❮ Previous
Next ❯

Related Concepts

Related Feeds

Autoimmune Diseases

Autoimmune diseases occur as a result of an attack by the immune system on the body’s own tissues resulting in damage and dysfunction. There are different types of autoimmune diseases, in which there is a complex and unknown interaction between genetics and the environment. Discover the latest research on autoimmune diseases here.

Related Papers

International Journal of Dermatology
Aurora ParodiA Rebora
Revista española de geriatría y gerontología
María Antonia Fernández-PugnaireCarmen Dulanto-Campos
© 2022 Meta ULC. All rights reserved