High-Potency Topical Steroids: An Effective Therapy for Chronic Scalp Inflammation in Rapp-Hodgkin Ectodermal Dysplasia

    February 2016 in “ Pediatric dermatology
    Martin Theiler, Ilona J. Frieden
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    Studysummary This report describes two cases of Rapp–Hodgkin ectodermal dysplasia where refractory scalp erosions improved significantly with potent topical steroids; it also suggests a potential link between these scalp conditions and erosive pustular dermatosis of the scalp in elderly patients.
    Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer
    The document from 2016 discussed the effectiveness of high-potency topical steroids in treating chronic scalp inflammation in patients with Rapp-Hodgkin Ectodermal Dysplasia (RHS). It presented two cases where patients saw significant improvement in scalp lesions after other treatments had failed. The study drew parallels between RHS and erosive pustular dermatosis of the scalp (EPDS), which also responds to potent topical steroids, and suggested that the inflammation might be due to a reaction to dystrophic hairs. The conclusion was that high-potency topical steroids are a successful treatment for the chronic scalp dermatitis associated with RHS.
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