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Extensive Erosions and Pustular Lesions of the Scalp—Diagnosis
Arch Dermatol. 2008;144(6):795-800.
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Diagnosis: Erosive pustular dermatosis of the scalp (EPDS) after trauma from herpes zoster.
MICROSCOPIC AND LABORATORY FINDINGS AND CLINICAL COURSE
Findings from repeated skin cultures were negative for viruses and microorganisms. Histopathologic analysis of a skin biopsy specimen taken from the left side of the scalp 1 month before presentation revealed an incidental actinic keratosis with granulation tissue within the dermis (Figure 3).
Figure appears in full text version.
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The patient was treated with clobetasol ointment twice daily and frequent moisturization to prevent recurrent crust formation. Chlorhexidine topical antiseptic cleanser was used to clean the scalp daily. Four weeks later, the scalp showed complete clearing, and the topical corticosteroid treatment was discontinued. Two weeks later, the crusted lesions recurred, and treatment with tacrolimus, 0.1%, ointment was initiated for maintenance therapy. During the next 2 years, the patient continued to have occasional erosions, which resolved under treatment with clobetasol. The scarring alopecia persisted.
DISCUSSION
Erosive pustular dermatosis of the scalp develops in aging or sun-damaged skin of elderly patients and is characterized by sterile . . . [Full Text of this Article]
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Arch Dermatol. 2008;144(6):795-800.
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