Post-Traumatic Erosive Dermatosis of the Scalp: A Hypergranulated Variant
June 2019
in “
Australasian Journal of Dermatology
”
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Studysummary This study presented a case series of erosive pustular dermatosis on the scalps of elderly patients, noting unusual presentation with hypergranulation tissue and unique dermoscopic vascular patterns, diverging from typical manifestations. Our plain-language summary of this paper — not a Tressless recommendation.
The document describes a case series of four elderly male patients with an average age of 80, who developed post-traumatic erosive pustular dermatosis of the scalp, characterized by hypergranulation tissue without crusts or pustules, following mechanical trauma. Dermoscopic examination revealed distinctive vascular patterns and scarring. The condition was successfully treated with a combination of topical fusidic acid and betamethasone cream, along with hyaluronic acid wound dressing, resulting in complete healing within an average of 25.7 days and no recurrences over a 6-month period. The study highlights the potential role of skin tension in atrophic and photo-damaged skin as a predisposing factor and underscores the effectiveness of early treatment and the utility of dermoscopy in diagnosis.
