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Erosive pustular dermatosis of the scalp EPDS is a rare skin disease seen in elderly people. The disease is characterized by chronic pustular and eroded lesions with crusts confined to the scalp that heal with scarring alopecia. It is often preceded by trauma to the skin.

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After visiting several doctors and departments a diagnosis of EPDS was suspected and treatment with oral isotretinoin was initiated with a good final result. Pustular dermatosis of the scalp. Up to several years after the skin damage a wound develops in the scalp with erosions, pustules, crusts and alopecia. Based on the clinical picture, with poor healing, superficial ulceration in sun-damaged skin and refractoriness to treatment, we considered a diagnosis of EPDS.

The effect of isotretinoin has been documented 3. Scrapings were negative for fungi and no herpes simplex was found. An year-old woman developed itchy scaly changes in the skin of the left temple over a period of several months. Br J Dermatol ; — Cutaneous carcinoma arising in erosive pustular dermatosis of the scalp. The only biochemical abnormalities were a slight anaemia with haemoglobin 6. Roxithromycin accutane 20mg dermatosis of the scalp associated with autoimmune diseases.

A wound swab revealed Staphylococcus aureus and she was treated with oral dicloxacillin with no effect. After one month the erosions and superficial ulcer had healed with alopecia Fig. Actinic keratoses persisted in the surrounding area. The sun-damaged skin, together with the clinical and histological features, in this patient led us to suspect a diagnosis of EPDS. Usually skin swabs and scrapings are negative for bacteria and fungi. The lesions progressed to erosions and superficial wounds with severe crusting and purulent discharge.

Br J Dermatol ; 97 Suppl 67— Clin Exp Dermatol ; — Dermatology ; — Dermatology ; 80— Erosive pustular dermatosis of the scalp.

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  • It can be a reaction to contact with chemicals including some drugs, metals or allergens, in which case it is known as contact dermatitis.
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Mrs Thompson is infection and a skin condition, she appears to be well. You take a careful patient history and discover that Mrs Thompson is taking the following medication: Levothyroxine sodium Trimethoprim Discuss the patients management using the following questions as a guide: What condition would levothyroxine be prescribed for. What could the skin condition be. Would it be safe to give this patient intravenous iodine contrast agent. What is trimethoprim and what is it used for.

Authored by Dr. Edward Choongho Lee, MD

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