Cicatricial Alopecia After a Surgical Procedure
July 2017
in “
Skin Appendage Disorders
”
cicatricial alopecia face-lifting surgery blisters pustules crusts suture site antibiotic treatments antifungal treatments erosive pustular dermatosis EPD scalp subcorneal pustules chronic inflammatory infiltrate high-potency topical corticosteroids tacrolimus prednisone physical trauma permanent hair loss alopecia face-lift stitches antibiotics antifungals inflammation steroids Protopic Deltasone trauma hair loss
TLDR A woman developed permanent hair loss after a face-lift surgery despite various treatments.
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.
