Dermatology Unit, University of Campania Luigi Vanvitelli, Naples, Italy,
Dermatology Unit, University of Campania Luigi Vanvitelli, Naples, Italy.
Dermatology. 2019;235(5):390-395. doi: 10.1159/000500909. Epub 2019 Jul 5.
Erosive pustular dermatosis of the scalp (EPDS) is an uncommon disease and primarily affects older men who have photo-damaged bald scalp, as was confirmed by our case series. EPDS is probably an overlooked disease, whose diagnosis is often missed because of a higher incidence of other cutaneous diseases affecting the same area and usually secondary to chronic actinic damage, such as actinic keratosis, basal cell carcinoma, and squamous cell carcinoma. For the first time, we report a case series of misdiagnosed EPDS with the aim of understanding why a diagnosis of EPDS was initially missed and try to give some tips to avoid future diagnostic delay.
头皮侵蚀性脓疱病（EPDS）是一种罕见的疾病，主要影响有光损伤的秃顶的老年男性，我们的病例系列证实了这一点。EPDS 可能是一种被忽视的疾病，由于同样影响该区域且通常继发于慢性光损伤的其他皮肤疾病的发病率较高，其诊断往往被遗漏，例如光化性角化病、基底细胞癌和鳞状细胞癌。我们首次报告了一系列误诊的 EPDS 病例，旨在了解为什么最初会漏诊 EPDS，并尝试提供一些避免未来诊断延误的建议。
