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. 2013 Jul 11:6:177-82.
doi: 10.2147/CCID.S47019. Print 2013.

Erosive pustular dermatosis (chronic atrophic dermatosis of the scalp and extremities)

Kristina Semkova  1 , Georgi Tchernev, Uwe Wollina
Affiliations

Erosive pustular dermatosis (chronic atrophic dermatosis of the scalp and extremities)

Kristina Semkova et al. Clin Cosmet Investig Dermatol. .

Abstract

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 therapy may improve the condition, but rarely results in a complete resolution. Surgery has been linked to exacerbation in some patients. In our hands, it achieved complete remission in male patients.

Keywords: cicatrical alopecia; erosive pustular dermatosis; leg; scalp; treatment.

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Figures

Figure 1
Figure 1
(A–C) Chronic eosinophilic dermatosis of the scalp in a 76 year-old male. (A) Overview. (B) Detail of crusted and erosive lesion with overgranulation. No signs of reepithelialization. (C) Excision and split-skin transplant. Ten days after transplantation, a stable transplant without recurrence is seen.
Figure 2
Figure 2
A 57-year-old patient with chronic actinic damage, multiple actinic keratoses and a T2 squamous cell carcinoma on the scalp. Field cancerization is an important differential diagnosis to erosive pustular dermatosis of the scalp.
See this image and copyright information in PMC

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