Dermatitis Cruris Pustulosa Et Atrophicans: Scarring Alopecia Beyond Scalp Hair

    January 2022 in “ Skin appendage disorders
    Ana Luísa João, Nélia Cunha, Rita Pinheiro, André Lencastre
    TLDR DCPA is a chronic skin condition affecting the legs, often misdiagnosed, and needs more research for better understanding and treatment.
    The article "Dermatitis Cruris Pustulosa et Atrophicans: Scarring Alopecia Beyond Scalp Hair" explores a rare dermatological condition that causes scarring alopecia on the lower limbs and other body areas, not just the scalp. It highlights the clinical features, diagnosis, and treatment options, stressing the importance of early intervention to prevent permanent hair loss and scarring. The condition, first described in Nigeria in 1952, involves multifactorial etiology and is often overlooked. Current treatments, including antiseptics, topical mupirocin, and systemic antibiotics, show variable success. A case study of a 34-year-old Bangladeshi man demonstrated significant improvement with isotretinoin after other treatments failed. The article underscores the need for further research to better understand and manage this chronic and therapy-refractory condition.
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