A Case of Erosive Pustular Dermatosis of the Scalp in a Pediatric Patient

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.