Erosive pustular dermatosis of the scalp following hair transplantation

Abstract

Erosive pustular dermatosis of the scalp (EPDS) is a rare inflammatory disease with unknown etiology that usually occurs in the elderly. It is characterized by multiple sterile pustules, chronic crusted erosions, cicatricial alopecia, and skin atrophy. It typically develops in aged or sun-damaged skin and is most often accompanied by a history of local trauma. Histopathologically, non-specialized change manifests as atrophic epidermis and chronic inflammation. Although this disease mainly occurs in elderly white women, we here report a case of EPDS in a 35-year-old man, following hair transplantation as a local trauma, that was successfully treated with topical steroid.

Erosive and Pustular Dermatitis of the Scalp, an Under Recognized Condition. Case Reports and Review

“…Cryotherapy [3][4][5] fluorouracil [3,5,6] imiquimod [7,8] tretinoin [4], ingenol mebutate [9], radiation therapy [10][11][12] CO2 Laser [3,13] photodynamic therapy [14,15] surgery [16][17][18], skin grafting [17,[19][20][21], hair transplantation [22], minoxidil treatment [23], lantanoprost application [24], herpes zoster [25][26][27][28], birth trauma [29].…”

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

“…Erosive pustular dermatosis of the scalp (EPDS) is an uncommon condition that is reported after local injuries including burns, cryotherapy, radiation therapy, photodynamic therapy, skin grafts, and hair transplantation as well as topical medication treatments including retinoids, imiquimod, and 5-fluorouracil. 1 , 2 , 3 , 4 , 5 , 6 We present a case of erosive pustular dermatosis of the scalp developing after contact dermatitis induced by a glued-on hair piece. Although skin trauma, including irritant reactions from topical medications, is documented to precipitate this condition, to the best of our knowledge, contact dermatitis from cosmetic application of hair pieces has not previously been reported as a triggering factor.…”

Cicatricial Alopecia after a Surgical Procedure

“…There is an extensive list of differential diagnosis, such as bacterial or fungal infection, pustular psoriasis, pemphigus foliaceus, dermatitis artefacta, folliculitis decalvans, cicatricial pemphigoid, and pyoderma gangrenosum (PG) [9,10]. …”