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

    Marta J. Cenkowski, Shane Silver
    TLDR Topical tacrolimus effectively treated scalp lesions, reversed skin atrophy, and promoted hair growth.
    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.
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