TLDR EPDS can cause recurring scalp sores and hair loss if not treated.
A 12-year-old boy developed erosive pustular dermatosis of the scalp (EPDS) following a skin graft for a third-degree burn. EPDS, typically seen in the elderly, is characterized by sterile pustules and chronic erosions, leading to scarring alopecia if untreated. The patient's condition, which included erythema and pruritus, did not respond to antibiotics but improved significantly with topical corticosteroids. This case highlighted the importance of recognizing EPDS in pediatric patients with a history of skin grafts and the effectiveness of corticosteroids in treatment. The diagnosis was confirmed through clinical improvement and negative microbial cultures, without the need for a biopsy.
9 citations,
March 2017 in “JAAD Case Reports” A woman's scalp condition improved with specific ointment after a hair piece caused skin issues.
53 citations,
February 2017 in “Journal of The American Academy of Dermatology” The conclusion is that high-potency steroids or tacrolimus are effective treatments for erosive pustular dermatosis of the scalp.
34 citations,
July 2013 in “Clinical Cosmetic and Investigational Dermatology” Erosive pustular dermatosis is a rare skin disease that's hard to treat and affects the scalp or legs.
38 citations,
November 2006 in “Pediatric dermatology” Infants with scalp injuries developed a skin condition that improved with steroid creams.
5 citations,
October 2018 in “Burns” Most patients who had scalp skin removed for burns as children had normal hair growth and were satisfied years later.
4 citations,
July 2015 in “Case Reports in Dermatology” A woman with unexplained hair loss was found to have harmless skin tumors and a scarring hair loss condition, but the tumors didn't cause the hair loss.
