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Correspondence |

Erosive Pustular Dermatosis of the Scalp Responding to Acitretin

Esteve Darwich, MD
Arch Dermatol. 2011;147(2):252-253. doi:10.1001/archdermatol.2010.442.
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Erosive pustular dermatosis of the scalp (EPDS) is a rare disorder of elderly people with actinically damaged skin. It is characterized by multiple pustules, erosions, and crusts on the scalp that can result in scarring alopecia.1 Although the cause remains unknown, there is often a history of previous trauma such as cryotherapy, radiotherapy, laser treatment, surgery, photodynamic therapy, or irritant contact dermatitis such as that caused by topical treatments with fluorouracil, imiquimod, or tretinoin.

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Figures

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Figure 1

Extensive areas of pustules, erosions, and crusts.

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Figure 2

After 6 weeks of treatment, erythema and atrophy without pustules.

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Figure 3

After 6 months of treatment, improvement of the alopecia with no signs of active disease.

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