Topical Tacrolimus in the Treatment of Erosive Pustular Dermatosis of the Scalp

A 71-year-old female with erosive pustular dermatosis of the scalp (EPDS) experienced recurrence after initial treatment with steroids and antibiotics due to steroid-induced atrophy. The introduction of topical tacrolimus 0.1% ointment successfully controlled the lesions, reversed skin atrophy, and promoted hair growth. This case marked the fourth reported instance of successful EPDS treatment with tacrolimus, suggesting it as a potential therapeutic option, though long-term use requires monitoring for side effects.