Vano-Galvan Sergio, Antonio Martorell-Calatayud, Pedro Jaén
Department of Dermatology, Ramon y Cajal Hospital, Madrid, Spain.
J Pak Med Assoc. 2012 May;62(5):501-2.
Erosive pustular dermatosis of the scalp is a rare condition characterized by sterile pustules, erosions and crusted lesions on the scalp of elderly patients. It can be misdiagnosed with tinea capitis or even skin cancer, so it is important to be aware of this entity for a correct diagnosis. An 80-year-old Caucasian man presented with a 3 month history of painful erythematous erosions and crusts on his scalp. The lesions appeared after treatment with cryotherapy of actinic keratoses. The patient underwent treatment with topical mupirocine and topical antifungals without success. Physical examination revealed the presence of extensive erosions and crusts along the scalp, with tiny pustules on the sides. The clinical and histopathological findings lead us to the diagnosis of erosive pustular dermatosis of the scalp. Treatment with potent topical corticosteroids twice daily was started with improvement after ten days. A maintenance therapy with topical tacrolimus was initiated without clinical relapse after 3 months.
头皮糜烂性脓疱病是一种罕见病症，其特征为老年患者头皮出现无菌性脓疱、糜烂及结痂性皮损。它可能被误诊为头癣甚至皮肤癌，因此认识这一病症对于正确诊断很重要。一名80岁的高加索男性，头皮出现疼痛性红斑糜烂及结痂已有3个月。这些皮损在光化性角化病冷冻治疗后出现。患者接受外用莫匹罗星和外用抗真菌药治疗但未成功。体格检查发现头皮有广泛的糜烂和结痂，两侧有微小脓疱。临床和组织病理学检查结果使我们诊断为头皮糜烂性脓疱病。开始每日两次外用强效糖皮质激素治疗，10天后病情改善。开始外用他克莫司维持治疗，3个月后无临床复发。
