Erosive pustular dermatosis of the scalp after contact dermatitis from a prosthetic hair piece

Herbst, Jay S.; Herbst, Alexander

doi:10.1016/j.jdcr.2017.01.008

Cited by 9 publications

(9 citation statements)

References 10 publications

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“…Because of the rarity and unknown etiology of EPDS, there is no established treatment recommendation, but treatment is usually conservative 2, 8. Possible treatments include systemic or topical corticosteroids, topical tacrolimus, oral or topical retinoids, topical calcipotriol, photodynamic therapy, dapsone gel, silicone gel, and oral zinc sulfate 2, 3, 9.…”

Section: Discussionmentioning

confidence: 99%

A case of erosive pustular dermatosis of the scalp in a pediatric patient

et al. 2019

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Section: Discussionmentioning

confidence: 99%

A case of erosive pustular dermatosis of the scalp in a pediatric patient

et al. 2019

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“…Topical therapies such as minoxidil, latanoprost, tretinoin, ingenol mebutate, 5‐fluorouracil and imiquimod have also been associated with EPDS . Pre‐existing aplasia cutis congenita, burns, contact dermatitis and herpes zoster have also been reported to precede EPDS . Actinic damage, concentrated in areas of hair loss secondary to long‐standing androgenetic alopecia, appears to be the most significant contributory factor to skin atrophy, thus playing a key role in the initial and ongoing development of EPDS .…”

Section: Aetiologymentioning

confidence: 99%

Erosive pustular dermatosis of the scalp – an Australian perspective: Insights to aid clinical practice

2019

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Erosive pustular dermatosis of the scalp has particular relevance in Australia, due to its association with actinic damage. Despite its rarity, the recalcitrant nature of erosive pustular dermatosis of the scalp dictates a protracted recovery fraught with relapse and recurrence, posing inherent challenges to successful treatment and complete recovery. In Australia, erosive pustular dermatosis of the scalp is prevalent in the elderly, who are negatively affected due to the condition. We propose a management outline to aid clinical practice, to improve the quality of life in the elderly, whilst providing insight into the current understanding and treatment of erosive pustular dermatosis of the scalp.

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“…Complete resolution was achieved in four patients (50%); three (38%) had partial resolution and one patient had stable disease. Systemic corticosteroids were used as part of combination therapy in 10 studies involving 11 patients 14–66…”

Section: Resultsmentioning

confidence: 99%

Therapeutic options for erosive pustular dermatosis of the scalp: a systematic review*

et al. 2020

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Summary Background Erosive pustular dermatosis of the scalp (EPDS) is a chronic condition characterized by erosive plaques and subsequent scarring alopecia as a result of local trauma or inflammation. A number of therapeutic approaches have been described in the literature but there is no consensus of opinion on optimal treatment of the disease. Objectives To provide evidence‐based recommendations for topical and systemic treatment of adult patients with EPDS by performing a systematic review. Methods The MEDLINE, MEDLINE In‐Process, Embase and Cochrane databases were searched from inception to 26 June 2019 in accordance with the PRISMA guidelines for studies involving adult patients treated for EPDS with at least one reported response to treatment. The study was registered on PROSPERO. Texts were reviewed independently by two authors. The risk of bias and quality of the studies were assessed using the Quality Appraisal Checklist for Case Series Studies. Results In total 75 studies were included, involving 168 patients. Many treatments have been reported in the literature, with varying degrees of therapeutic success. The results were highly heterogeneous and methodological quality was very low. We were unable to perform a meta‐analysis on the data. Conclusions The limited available evidence supports use of topical corticosteroids, with or without oral zinc, followed by maintenance therapy with topical calcineurin inhibitors as being effective in managing this condition. Topical photodynamic therapy is also potentially beneficial in the management of EPDS. Prospective, comparative, randomized controlled trials are required in order to provide further evidence to guide treatment.

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Erosive pustular dermatosis of the scalp after contact dermatitis from a prosthetic hair piece

Cited by 9 publications

References 10 publications

A case of erosive pustular dermatosis of the scalp in a pediatric patient

A case of erosive pustular dermatosis of the scalp in a pediatric patient

Erosive pustular dermatosis of the scalp – an Australian perspective: Insights to aid clinical practice

Therapeutic options for erosive pustular dermatosis of the scalp: a systematic review*

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