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      A Case Associating an Erosive Pustular Dermatosis of the Legs and Scalp

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          Abstract

          Erosive pustular dermatosis (EPD) of the legs and the scalp have been described as two separate entities occurring in a different context. We report the original case of a patient with an EPD of both the scalp and legs.

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          Most cited references16

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          Erosive pustular dermatosis of the scalp.

          Stephen R. Pye, Matthew J Burton, P R Peachey (1979)
          We report six patients with a previously undescribed but characteristic pustular dermatosis confined to the scalp. All the patients were elderly women who developed chronic, extensive, pustular, crusted and occasionally eroded lesions of the scalp which produced scarring alopecia. Investigations were essentially negative and skin biopsies showed only non-specific changes of atrophy and chronic inflammation, sometimes with increased plasma cells in the infiltrate. The condition did not respond to antibiotics, but was suppressed by potent topical steroids.
          Article 0 comments Cited 24 times – based on 0 reviews     Review now
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            Erosive pustular dermatosis of the scalp following cryotherapy and topical tretinoin for actinic keratoses.

            A Rebora, F Rongioletti, E. Rossi … (1999)
            Article 0 comments Cited 9 times – based on 0 reviews     Review now
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              Chronic atrophic erosive dermatosis of the scalp and extremities: A recharacterization of erosive pustular dermatosis.

              Douglas Patton, Peter J Lynch, Maxwell Fung … (2007)
              Erosive pustular dermatosis (EPD) is a rarely reported condition that primarily involves the actinically damaged scalp of elderly women. Although the condition is well recognized in the United Kingdom and Europe, no US cases have heretofore been reported. We sought to document the presence, and determine the clinical characteristics, of EPD in the US population. Patients were recruited from the dermatology clinic at a university in California and from the private practices of dermatologists in the Northern California region. Eleven patients with EPD were identified. Eight were women and 3 were men. The scalp was involved in 9 patients and the extremities in two patients. The involved skin was actinically damaged in 9 patients. The patients were elderly (66-90 years) but one patient was a 15-year-old boy. All lesions resolved or greatly improved with the application of high-potency steroids or tacrolimus. Not all patients were examined personally by the authors of this article. The length of follow-up was relatively short. EPD is a fairly common disease and is the most likely diagnosis in instances where chronic, nonhealing, shallow erosions occur on actinically damaged, or otherwise atrophic, skin. In spite of the name, intact pustules are rarely present. The histology is that of moderate to marked, nonspecific chronic inflammation. EPD responds well to high-potency topical steroids.
              Article 0 comments Cited 8 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Case Rep Dermatol
                Journal ID (iso-abbrev): Case Rep Dermatol
                Journal ID (publisher-id): CDE
                Title: Case Reports in Dermatology
                Publisher: S. Karger AG (Allschwilerstrasse 10, P.O. Box · Postfach · Case postale, CH–4009, Basel, Switzerland · Schweiz · Suisse, Phone: +41 61 306 11 11, Fax: +41 61 306 12 34, karger@karger.ch )
                ISSN (Electronic): 1662-6567
                Publication date Collection: Sep-Dec 2012
                Publication date (Electronic): 11 September 2012
                Publication date PMC-release: 11 September 2012
                Volume: 4
                Issue: 3
                Pages: 186-191
                Affiliations
                [1] aDepartments of Dermatology, Anatomopathology, University Hospital of Amiens, Amiens, France
                [2] bDepartments of Anatomopathology, University Hospital of Amiens, Amiens, France
                Author notes
                *Department of Dermatology, University Hospital of Amiens, FR-80000 Amiens (France), E-Mail mariejourdan@ 123456hotmail.com
                Article
                Publisher ID: cde-0004-0186
                DOI: 10.1159/000342809
                PMC ID: 3529573
                PubMed ID: 23271992
                SO-VID: 982c10e6-e932-418c-8dbc-8f10f93a561b
                Copyright © Copyright © 2012 by S. Karger AG, Basel
                License:

                This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial-No-Derivative-Works License ( http://creativecommons.org/licenses/by-nc-nd/3.0/). Users may download, print and share this work on the Internet for noncommercial purposes only, provided the original work is properly cited, and a link to the original work on http://www.karger.com and the terms of this license are included in any shared versions.

                History
                Page count
                Figures: 3, Tables: 2, References: 16, Pages: 6
                Categories
                Subject: Published online: September, 2012

                ScienceOpen disciplines: Dermatology
                Keywords: skin atrophy,erosive pustular dermatosis,spongiform pustules
                Data availability:
                ScienceOpen disciplines: Dermatology
                Keywords: skin atrophy, erosive pustular dermatosis, spongiform pustules

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