Cicatricial Alopecia After a Surgical Procedure

A 61-year-old female developed cicatricial alopecia following a face-lifting surgery, characterized by blisters, pustules, and crusts at the suture site. Despite extensive antibiotic and antifungal treatments, her condition persisted, leading to a diagnosis of erosive pustular dermatosis (EPD) of the scalp. Histopathology showed subcorneal pustules and chronic inflammatory infiltrate. Treatments with high-potency topical corticosteroids, tacrolimus, and prednisone led to partial improvement, but extensive cicatricial alopecia remained. EPD is a rare, chronic condition often triggered by physical trauma, with no gold standard treatment, and can result in permanent hair loss if not managed properly.