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[带状疱疹性眼炎及外伤后头皮糜烂性脓疱性皮肤病]

[Erosive pustular dermatosis of the scalp after zoster ophthalmicus and trauma].

作者信息

Wollenberg A, Heckmann M, Braun-Falco O

机构信息

Dermatologische Klinik und Poliklinik, Ludwig-Maximilians-Universität München.

出版信息

Hautarzt. 1992 Sep;43(9):576-9.

PMID:1399604
Abstract

Erosive pustular dermatosis of the scalp (EPDS), first described in 1979, is a rare, chronic, pustular condition with scarring alopecia, and nonspecific histological findings. While the initial responded to steroids is good, it can be treated successfully by oral administration of zinc sulphate. Local trauma has recently been suggested to play a role in the pathogenesis of EPDS. The differential diagnosis of EPDS includes folliculitis decalvans, sterile eosinophilic pustulosis Ofuji, pustular psoriasis vulgaris, trichophytosis, Perifolliculitis capitis abscedens et suffodiens, pemphigus vulgaris and cicatricial pemphigoid. We present the cases of a 74-year-old woman suffering from EPDS following herpes zoster ophthalmicus and of a 54-year-old man in whom EPDS followed a head injury.

摘要

头皮糜烂性脓疱病(EPDS)于1979年首次被描述,是一种罕见的慢性脓疱性疾病,伴有瘢痕性脱发,组织学表现无特异性。虽然最初对类固醇治疗反应良好,但口服硫酸锌也可成功治疗该病。最近有人提出局部创伤在EPDS的发病机制中起作用。EPDS的鉴别诊断包括脱发性毛囊炎、Ofuji无菌性嗜酸性脓疱病、寻常型脓疱型银屑病、癣、头皮穿掘性蜂窝织炎、寻常型天疱疮和瘢痕性类天疱疮。我们报告了1例74岁女性在患眼带状疱疹后发生EPDS的病例,以及1例54岁男性在头部受伤后发生EPDS的病例。

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