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.

Starace, M., Loi, C., Bruni, F., Alessandrini, A.M., Misciali, C., Patrizi, A., et al. (2017). Erosive pustular dermatosis of the scalp: Clinical, trichoscopic, and histopathologic features of 20 cases. JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 76, 1109-1114 [10.1016/j.jaad.2016].

Erosive pustular dermatosis of the scalp: Clinical, trichoscopic, and histopathologic features of 20 cases.

STARACE, MICHELA;LOI, CAMILLA;BRUNI, FRANCESCA;ALESSANDRINI, AURORA MARIA;MISCIALI, COSIMO;PATRIZI, ANNALISA;PIRACCINI, BIANCA MARIA
2017

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.
2017
Starace, M., Loi, C., Bruni, F., Alessandrini, A.M., Misciali, C., Patrizi, A., et al. (2017). Erosive pustular dermatosis of the scalp: Clinical, trichoscopic, and histopathologic features of 20 cases. JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 76, 1109-1114 [10.1016/j.jaad.2016].
Starace, M; Loi, C; Bruni, F; Alessandrini, AM; Misciali, C; Patrizi, A; Piraccini, BM.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11585/587233
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