Erosive pustular dermatosis of the scalp
(Redirected from Erosive pustular dermatitis of the scalp)
Erosive pustular dermatosis of the scalp (EPDS) is a rare chronic inflammatory condition characterized by pustules, erosions, and crusting on the scalp. It primarily affects elderly individuals and can lead to significant scarring and permanent hair loss.
Symptoms[edit | edit source]
The main symptoms of erosive pustular dermatosis of the scalp include:
Causes[edit | edit source]
The exact cause of EPDS is unknown. However, several factors are believed to contribute to its development, including:
- Trauma to the scalp, such as from surgery or injury
- Ultraviolet (UV) radiation exposure
- Previous inflammatory skin conditions
- Immunosuppression
Risk Factors[edit | edit source]
Several risk factors have been identified for EPDS, including:
- Elderly age
- History of scalp trauma or surgery
- Chronic sun exposure
- Immunosuppressive conditions or treatments
Diagnosis[edit | edit source]
Diagnosis of EPDS is primarily clinical, based on the characteristic appearance of the scalp lesions. A biopsy may be performed to rule out other conditions such as infections, autoimmune diseases, or malignancies.
Treatment[edit | edit source]
Treatment options for EPDS include:
- Topical corticosteroids To reduce inflammation.
- Topical calcineurin inhibitors Such as tacrolimus or pimecrolimus, which also help reduce inflammation.
- Antibiotics To treat or prevent secondary bacterial infections.
- Wound care Regular cleaning and dressing of the affected areas.
- Photoprotection Using hats or sunscreen to protect the scalp from UV radiation.
Prognosis[edit | edit source]
The prognosis for EPDS varies. Some patients may experience chronic and recurring symptoms, while others may achieve long-term remission with appropriate treatment. Early intervention and ongoing management are crucial to prevent complications such as extensive scarring and permanent hair loss.
Prevention[edit | edit source]
Preventive measures include:
- Protecting the scalp from trauma
- Avoiding excessive sun exposure by wearing hats or using sunscreen
- Regular monitoring and early treatment of any scalp lesions
See Also[edit | edit source]
References[edit | edit source]
- Burton, J. L., & Pye, R. J. (1980). "Erosive pustular dermatosis of the scalp." British Journal of Dermatology, 102(2), 129-139.
- Wollina, U., & Haroske, G. (2011). "Erosive pustular dermatosis of the scalp and leg." Journal of Cutaneous and Aesthetic Surgery, 4(2), 115-119.
- "Erosive pustular dermatosis of the scalp: a case series and review of the literature." (2013). Dermatology Online Journal, 19(8), 18559.
External Links[edit | edit source]
- American Academy of Dermatology - Comprehensive resource on dermatological conditions
- DermNet NZ - Information on various skin conditions, including erosive pustular dermatosis
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