Erosive pustular dermatosis of the scalp: Clinical, trichoscopic, and histopathologic features of 20 cases - 14/12/17
Abstract |
Background |
Erosive pustular dermatosis of the scalp is a chronic eruption that leads to scarring alopecia.
Objective |
The clinical, dermoscopic, and histopathological features and the course of the disease in 20 patients were reviewed and compared with the reports in the literature.
Methods |
Gender, age at diagnosis, age at onset, duration, topography, predisposing factors, concomitant diseases, trichoscopy, histology, treatment, and outcome were taken into consideration.
Results |
The mean age was 59.4 years. Androgenetic alopecia was present in 12 patients, 6 of whom showed actinic damage. Trauma was reported in 9 patients. Four patients were affected by autoimmune disorders. The vertex was the most common location. In all 20 patients trichoscopy showed an absence of follicular ostia with skin atrophy. Histopathology revealed 3 different features, depending on the disease duration. A reduction of inflammatory signs was observed in 14 patients treated with topical steroids and in all 3 patients treated with topical tacrolimus 0.1%.
Limitations |
The rarity of this disease is a limitation.
Conclusions |
The relatively high number of patients allowed us to identify a better diagnostic approach, using trichoscopy, and a more effective therapeutic strategy, with high-potency steroids or tacrolimus, which should be considered as first-line treatment.
Le texte complet de cet article est disponible en PDF.Key words : cicatricial alopecia, erosive pustular dermatosis, histology, scalp, trauma, trichoscopy
Plan
Drs Starace and Loi contributed equally to this article. |
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Funding sources: None. |
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Conflicts of interest: None declared. |
Vol 76 - N° 6
P. 1109 - juin 2017 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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