A Male with Erythema, Pustules, and Crusts on the Scalp
January 2022
in “
Clinical Cases in Dermatology
”
TLDR A rare scalp condition was successfully treated with specific medications after 9 months.
A 22-year-old Asian man with an 8-year history of erosive pustular dermatosis of the scalp (EPDS) presented with pustules, erosions, and crusts, leading to scarring alopecia. Biopsy showed acanthosis, absence of hair follicles and sebaceous glands, and a slight inflammatory infiltrate. Treatment with topical tacrolimus and oral isotretinoin resolved the lesions after 9 months. EPDS is rare, with no established standard of care, though various treatments like oral isotretinoin and topical tacrolimus have been reported.
