Erosive Pustular Dermatosis of the Scalp

    September 2021 in “ CRC Press eBooks
    Mariya Miteva
    TLDR Erosive pustular dermatosis of the scalp causes painful, scarring skin lesions on the scalp, mainly in elderly people with sun-damaged skin.
    Erosive pustular dermatosis of the scalp (EPDS) is a rare condition affecting elderly patients with long-standing sun-damaged skin, characterized by sterile pustules, erosions, and superficial crusts that can lead to scarring alopecia. It often occurs on the vertex and can range from a few lesions to extensive crusted plaques. Trauma and tissue damage, such as from herpes zoster or various medical treatments, are common triggers. The pathogenesis is unclear but may involve immune dysregulation in hair follicles. Trichoscopy reveals different features in active and chronic cases, such as visible anagen bulbs and yellow crusts in active disease, and atrophic skin with loss of follicular ostia in chronic disease.
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