头皮糜烂性脓疱性皮炎局部免疫抑制背景下带状疱疹感染的复发

Moustafa Farah, Starace Michela, Ravaioli Giulia, Piraccin Bianca Maria

Department of Dermatology, Warren Alpert Medical School of Brown University, Providence, RI, USA.

Department of Dermatology, University of Bologna, Bologna, Italy.

Int J Trichology. 2020 Jan-Feb;12(1):29-31. doi: 10.4103/ijt.ijt_53_19. Epub 2020 Apr 9.

We present a unique patient with erosive pustular dermatosis of the scalp (EPDS) with several unique features: (1) a rare case of EPDS occurring after herpes zoster (HZ) infection and (2) the first reported case of recurrence of HZ induced by topical immunosuppressive therapy (clobetasol 0.05% cream and tacrolimus 0.01% cream) in a patient with underlying EPDS. Based on our patient, we recommend to exercise caution with the prolonged use of potent topical steroids in areas previously affected by herpes zoster.

我们报告了一位患有头皮糜烂性脓疱病（EPDS）的独特患者，该病例具有几个独特特征：（1）这是一例带状疱疹（HZ）感染后发生EPDS的罕见病例；（2）这是第一例有潜在EPDS的患者在接受局部免疫抑制治疗（0.05%丙酸氯倍他索乳膏和0.01%他克莫司乳膏）后HZ复发的报告病例。基于我们的患者，我们建议在先前受带状疱疹影响的区域长期使用强效局部类固醇时要谨慎。