Erosive pustular dermatosis of the scalp developing after a burn from a hair-bleaching procedure

Pernet, C.; Bessis, Didier; Dereure, O.; Raison‐Peyron, N.

doi:10.1111/ced.12970

Cited by 10 publications

(10 citation statements)

References 6 publications

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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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Section: Aetiologymentioning

confidence: 99%

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

2019

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“…Secondary outcomes included the presence of steroid‐related skin atrophy, in seven patients (9%). TCS were also used as part of combination therapy in 34 studies involving 50 patients 4–64. There was no significant difference in the outcome associated with the potency of TCS used ( P = 0·47).…”

Section: Resultsmentioning

confidence: 99%

“…One patient had partial resolution and one had progressive disease. Systemic antibiotics were used as part of combination therapy in 10 studies involving 12 patients 15–70. The most commonly used systemic antibiotics were dapsone (three cases) and minocycline (three cases).…”

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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“…11 Several types of burns, including sunburn, flame, scald, and chemical burn from hair bleaching, have also been documented as causes of erosive pustular dermatosis. [12][13][14] Of seven patients with burns and subsequent EPDS, the mean age was 31.7 with the youngest patient being 2 years old. This is much younger than the typical patient who develops EPDS.…”

Section: Injuries and Burnsmentioning

confidence: 99%

“…Although injuries leading to EPDS are more common in the elderly, perinatal injury has also been reported to result in EPDS in several infants who had prolonged labor and caput succedaneum 11 . Several types of burns, including sunburn, flame, scald, and chemical burn from hair bleaching, have also been documented as causes of erosive pustular dermatosis 12‐14 . Of seven patients with burns and subsequent EPDS, the mean age was 31.7 with the youngest patient being 2 years old.…”

Section: Causesmentioning

confidence: 99%

Erosive pustular dermatosis of the scalp: causes and treatments

Karanfilian

Wassef

2020

Int J Dermatology

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Erosive pustular dermatosis of the scalp is a rare condition which primarily affects older women after local trauma and has historically been treated with topical steroids. As it is a rare entity and resembles other dermatologic conditions, it may easily be misdiagnosed. Identifying the causes and evaluating the efficacy of treatments of erosive pustular dermatosis of the scalp (EPDS) is of great importance to both avoid misdiagnosis and ensure optimal treatment of this rare condition. There are numerous causes. In addition to surgeries and physical injuries, topical and procedural treatments for actinic keratoses and androgenetic alopecia can trigger the development of lesions. There are also documented associations with several autoimmune and systemic conditions. Besides corticosteroids, topical tacrolimus and photodynamic therapy were the most commonly used treatments for EPDS. They were effective with few recurrences and adverse effects. Other successful treatment options were topical dapsone, silicone gels, calcipotriol, acitretin, and isotretinoin. Oral dapsone can be used in cases of disseminated disease. Zinc sulfate should be considered with low-serum zinc levels. While cyclosporine was effective, there were adverse effects that may limit its use. It is important for dermatologists to be aware of the wide array of potential causes of erosive pustular dermatosis and include it on their differential. Additionally, although high-potency topical steroids have been historically used as the first-line treatment, there are many other effective treatments that may avoid recurrence and skin atrophy, particularly in the elderly population.

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Erosive pustular dermatosis of the scalp developing after a burn from a hair-bleaching procedure

Cited by 10 publications

References 6 publications

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

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*

Erosive pustular dermatosis of the scalp: causes and treatments

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