Erosive Pustular Dermatosis (Chronic Atrophic Dermatosis of the Scalp and Extremities)

    Uwe Wollina, Kristina Semkova, Georgi Tchernev
    TLDR Erosive pustular dermatosis is a rare skin disease that's hard to treat and affects the scalp or legs.
    Erosive pustular dermatosis (EPD) of the scalp and extremities was characterized by chronic, relapsing pustules, erosions, and crusts primarily affecting older adults, often leading to significant scarring and atrophy. The condition was frequently misdiagnosed due to its resemblance to other dermatological conditions. Effective management included topical corticosteroids and calcineurin inhibitors, with some cases requiring systemic treatments. Early and accurate diagnosis was crucial to prevent long-term damage and improve patient outcomes. EPD was a rare, noninfectious inflammatory disorder that often led to secondary cicatricial alopecia, with treatment being difficult and complete resolution rare. Surgery showed success in some cases, particularly in elderly males with scalp EPD. The exact pathogenesis remained unclear, necessitating further research for better treatment strategies.
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